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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216930
Report Date: 08/07/2025
Date Signed: 08/21/2025 01:53:12 PM

Document Has Been Signed on 08/21/2025 01:53 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:BROWN FCC AKA EDUCARE FAMILY CHILD CAREFACILITY NUMBER:
426216930
ADMINISTRATOR/
DIRECTOR:		BROWN, MELISSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 268-8500
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 0DATE:
08/07/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Melissa BrownTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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On August 7, 2025 at 1:00 PM, Licensing Program Manager, (LPM) Maria Mueller, Licensing Program Analysts (LPAs) Gigi Reyes, Joaquin Mendez, Seena Parsapour met with Licensee, Melissa Brown and Andrei Kibrik.

This meeting was called to address regulation deficiencies /violations to Title 22 Division 12 of California Code of Regulations at the Family Child Care Home.

The following regulations were reviewed with the licensee, and the following areas were discussed.

426216930 (Current license)

1. On 5/19/2025, approximately 12:00 PM Child # 1, toddler wandered away and walked about 573 ft with an estimated time of about 6.5 minutes. Child was found in Clark St. And Michael St. Santa Maria CA 93455. Child was found by 2 unidentified witnesses. Santa Barbara Sheriff was called by the witnesses.

426216206 (Prior License)

1. On 10/25/2021, a complaint allegation of Unlicensed care was substantiated.

2. On 6/21/2022, Assistant Alexis Rivas’ criminal record clearance was not associated to FCCH prior to working as an assistant.

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Gigi Reyes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: BROWN FCC AKA EDUCARE FAMILY CHILD CARE
FACILITY NUMBER: 426216930
VISIT DATE: 08/07/2025
NARRATIVE
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As a result of this discussion, Licensee, agreed to the following:
1. Effective August 7, 2025, the Family Childcare Home (FCCH) will be placed on compliance plan.

2. Licensee shall attend the online FCCH orientation and submit the certificate on September 7, 2025.

3. Increased unannounced inspections to the FCCH will be required.

4. Licensee shall submit a written statement detailing what changes she had made referencing the above deficiencies by September 7, 2025,

5. Licensee shall submit in writing the FCCH enhanced supervision protocols by September 7, 2025.

6. Licensee shall attend online training on care and supervision, personal rights. Licensee shall submit a written statement on what she learned from the training on care and supervision and personal rights by September 7, 2025.

7. Licensee shall provide a statement of compliance with Title 22, describing how licensee will ensure full compliance with the regulation specifically on the following:

· how the licensee will maintain the proper care and supervision

· how the licensee will protect children’s personal rights

· what steps licensee will take to ensure all adults (residents, employees and volunteers) obtain criminal record clearance and are associated to the facility prior to working, residing or being present in the home.

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Gigi Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: BROWN FCC AKA EDUCARE FAMILY CHILD CARE
FACILITY NUMBER: 426216930
VISIT DATE: 08/07/2025
NARRATIVE
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· how licensee will ensure not to operate without a license at a new location until a new application is reviewed and the FCCH is approved by the Department.

8. Referral to CDSS Technical Support Program(TSP). TSP flyer was provided to Licensee and will contact LPA Reyes if FCCH decides to avail of the services.

9.Request Resource and Referral in Santa Maria for training. Tel no. 805-925-7071



Licensee was provided with the following video links for training and informational purposes. Licensee shall submit a written summary outlining the key takeaways and information learned from the content.https://ccld.childcarevideos.org/family-child-care-providers/supervising-children-in-family-child-care/https://www.youtube.com/watch?v=y6s2FPowcsAhttps://www.youtube.com/watch?v=Kt1kdIbIu-8https://www.youtube.com/watch?v=d6aDA-c8zSQ
https://youtu.be/YLVQ9UiuT3s

The Licensee, Melissa Brown agreed to operate in compliance with Title 22, Division 12, CCR at all times.

Upon receipt of this report, licensee shall post this at the FCCH, and provide copies to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with Melissa Brown.

NAME OF LICENSING PROGRAM MANAGER: Maria Mueller
NAME OF LICENSING PROGRAM ANALYST: Gigi Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
LIC809 (FAS) - (06/04)
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