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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216793
Report Date: 05/07/2025
Date Signed: 05/07/2025 11:02:37 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/18/2025 and conducted by Evaluator Shane Loftus
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20250218092016
FACILITY NAME:CHAVEZ FAMILY CHILD CAREFACILITY NUMBER:
426216793
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
05/07/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Maria ChavezTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Children in care were not properly supervised
INVESTIGATION FINDINGS:
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On 5/7/25, 9:20 AM Licensing Program Analysts (LPAs) Shane Loftus and Cynthia Alvarez made an unannounced inspection to the above-mentioned Family Child Care Home (FCCH) to deliver findings regarding the abovementioned allegation. Specifically, children in care were not properly supervised. LPAs met with Maria Chavez, the Licensee of the FCCH, and explained the purpose of the inspection. LPA observed 3 children in care during the inspection.

The investigation included two unannounced inspections, record reviews, and interviews. LPAs conducted interviews of the Licensee, parents of children in care, and the complainant. LPAs interviews, records review, and observation corroborated the allegation of a personal rights violation of children in care. Specifically, licensee was absent from the FCCH when a parent of a child in care arrived to pick up their child. A child opened the door, and the parent prevented the child in care from leaving the FCCH. Licensee’s spouse was supervising during this time.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 17-CC-20250218092016
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CHAVEZ FAMILY CHILD CARE
FACILITY NUMBER: 426216793
VISIT DATE: 05/07/2025
NARRATIVE
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Based on LPAs observation, records review, and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A Type A deficiency is being cited in accordance with California Code of Regulation, (Title 22 Division 12 102423(a)(2)), and is being cited on the attached LIC 9099 D).

A notice of site visit was given and must remain posted for 30 days. Appeal Rights were provided to licensee. Exit interview conducted and report was reviewed with the licensee Maria Chavez.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 17-CC-20250218092016
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHAVEZ FAMILY CHILD CARE
FACILITY NUMBER: 426216793
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/08/2025
Section Cited
CCR
102423(a)(2)
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(a)Each child receiving services...shall have certain rights that shall not be waived or abridged by the licensee...These rights include...the following: (2)To receive safe, healthful, and comfortable accommodation.
This requirement is not met as evidenced by:
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Licensee will submit a written plan to CCLD on how she will ensure the children in care will receive a safe, healthful, and comfortable accomodation, specifically for when licensee needs to leave the home for any duration of time.
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Based on LPAs observation, records review, and interview, licensee did not comply with the section cited above in that a child in care left the home and was stopped by a parent of a child in care while licensee was absent from the home.
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Written plan will include that licensee is aware of her responsibility to be present 80% of the time, as well as how licensee will ensure she has a qualified assistant present during those times. Plan will be submitted to CCLD (shane.loftus@dss.ca.gov) by 5/8/25
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/18/2025 and conducted by Evaluator Shane Loftus
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20250218092016

FACILITY NAME:CHAVEZ FAMILY CHILD CAREFACILITY NUMBER:
426216793
ADMINISTRATOR:MARIA CHAVEZ BARAJASFACILITY TYPE:
810
ADDRESS:1240 BETHEL LANE APT. 6CTELEPHONE:
(805) 867-2813
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:8CENSUS: 3DATE:
05/07/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Maria ChavezTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Licensee operates over capacity
INVESTIGATION FINDINGS:
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On 5/7/25, at 10:30 AM, Licensing Program Analysts (LPAs) Shane Loftus and Cynthia Alvarez conducted an unannounced inspection of the above-mentioned Family Child Care Home (FCCH) to deliver a finding with respect to the allegation noted above. LPAs met with licensee, Maria Chavez, and explained the nature and purpose of the investigation. LPAs notes 3 children are present at the time of the inspection.

The investigation included two unannounced inspections, records reviews, and interviews. LPAs interviewed the licensee, complainant, and a sampling of parents of children in care. Interviews, document reviews as well as LPAs' observations did not corroborate the allegation noted above. LPAs found that licensee does not operate over capacity.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 17-CC-20250218092016
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CHAVEZ FAMILY CHILD CARE
FACILITY NUMBER: 426216793
VISIT DATE: 05/07/2025
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights were provided to licensee. Exit interview conducted and report was reviewed with the licensee, Maria Chavez.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Shane Loftus
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5