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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426217210
Report Date: 12/04/2024
Date Signed: 12/04/2024 04:01:18 PM

Document Has Been Signed on 12/04/2024 04:01 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:CARDENAS FAMILY CHILD CAREFACILITY NUMBER:
426217210
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
12/04/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Esmeralda CardenasTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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On 12/4/24, at 2:30 PM, Licensing Program Analysts (LPAs) Joaquin Mendez and Elvin Baddley conducted an unannounced Prelicense Inspection of the abovementioned home. It should be noted an initial Prelicense Inspection of the home was conducted on 11/19/24.

LPAs met with Applicant Esmeralda Cardenas and explained the purpose and nature of the inspection. It should be noted LPAs observed no children on site during the time of the inspection.

LPAs toured the interior and exterior of the home, in the company of Applicant. Applicant discussed the locations child care services with LPAs, both inside and outside of the home. LPAs discussed the corrections which are needed for the licensing of a Family Child Care Home..

Licensure pending corrections as well as additional inspection to confirm corrections.

The inspection was conducted in Spanish and report was translated in Spanish by LPA Mendez. Exit interview conducted and report was reviewed with the applicant, Esmeralda Cardenas.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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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