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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426217414
Report Date: 06/26/2026
Date Signed: 06/26/2026 12:01:52 PM

Document Has Been Signed on 06/26/2026 12:01 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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:ESPARZA FAMILY CHILD CAREFACILITY NUMBER:
426217414
ADMINISTRATOR/
DIRECTOR:		LIZETH AMAIRANI ESPARZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 332-9781
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
06/26/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Lizeth Amairani EsparzaTIME VISIT/
INSPECTION COMPLETED:
12:16 PM
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On June 26, 2026 at 9:20 AM, Licensing Program Analyst (LPA) Bill Billones conducted an unannounced Annual Random inspection of the abovementioned Family Child Care Home (FCCH). LPA met with Licensee Lizeth Amairani Esparza and informed them of the purpose of the visit. LPA in the company of the Licensee toured the physical plant and observed required licensing documents posted in a visible location. Licensee confirmed hours of operation are from 5:00 AM to 4:30 PM, Monday through Friday, and 5:30 AM to 1:30 PM, Saturday. LPA counted eleven children present with the Licensee and one assistant providing care and supervision. Additionally, the Licensee stated that their spouse and another child under ten years of age were asleep in a separate off-limit bedroom for a total of 11 children care.

The home is a single story, four bedroom, two bathroom residence. The FCCH operates in the living room, kitchen, and backyard. The rest of the home is excluded from child care services, with off-limit bedroom doors covered with child-resistant locks. LPA notes that upon arrival, day care children were observed asleep on napping equipment. During the inspection, the Licensee stated that three of their children under ten years of age were present and counted toward the ratio. LPA observed that two off-limit bedrooms were occupied by two of the Licensee’s children.

The home is clean and orderly with sufficient spacing and ventilation. LPA observed the living room is primarily used for children’s activities. A fireplace in the living room is secured by metal screen. The kitchen is accessible to children in care and LPA observed sharps are stored in elevated cabinets. LPA observed a garage with locking mechanism that is used for storage of personal items and cleaning products. LPA observed the children’s bathroom to be clean and free of hazardous items. LPA reminded Licensee to ensure hazardous items are inaccessible to children in care and that in order for areas of the home to be inaccessible the areas must be secured while day care children are present.

CONTINUED ON LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino
NAME OF LICENSING PROGRAM ANALYST: Bill-Brian Billones
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2026
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ESPARZA FAMILY CHILD CARE
FACILITY NUMBER: 426217414
VISIT DATE: 06/26/2026
NARRATIVE
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The backyard is fully enclosed. LPA observed children’s toys and equipment to be in good repair. LPA observed four children on a trampoline and advised Licensee to follow manufacturer guidelines on all children’s equipment when in use. Licensee will allow one child on the trampoline at a time under supervised use. Additionally, LPA observed two metal shovels accessible to children in care, which Licensee removed to a secure location. Licensee also covered a barbecue pit during the inspection. Licensee states no firearms and ammunition are stored in the home. No bodies of water observed.

LPA tested a dual carbon monoxide detector and smoke alarm at 9:33 AM, which was found to be functional. LPA observed a fire extinguisher that was purchased on 02/19/2025. Licensee was reminded to service or purchase a regulation fire extinguisher annually. LPA notes the last disaster drill was documented December 2025.

A sample of children and staff records were reviewed. The children’s records were found to be incomplete with required licensing forms. Licensee did not maintain 15 minute sleep checks and/or were incomplete for two children’s files. The LIC 9227 Individual Infant Sleeping Plan was missing for one file. Licensee was reminded to ensure all Licensing documents are filled out in its’ entirety. Licensee’s Mandated Reporter training certificate expires on 02/19/2025. Licensee and assistant’s Pediatric First Aid/CPR certificates were not from an approved vendor. Staff and children’s immunization records were reviewed and verified. All adults present are associated and cleared.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Licensee of the importance of checking for and removing any recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

CONTINUED ON LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino
NAME OF LICENSING PROGRAM ANALYST: Bill-Brian Billones
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
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
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: ESPARZA FAMILY CHILD CARE
FACILITY NUMBER: 426217414
VISIT DATE: 06/26/2026
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

In areas evaluated, four (4) Type-B deficiencies are being cited under Title 22 regulations which can be found the attached LIC 809-Ds. Two technical advisories were also issued today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Lizeth Amairani Esparaza.

NAME OF LICENSING PROGRAM MANAGER: Ana Tolentino
NAME OF LICENSING PROGRAM ANALYST: Bill-Brian Billones
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/26/2026 12:01 PM - It Cannot Be Edited


Created By: Bill-Brian Billones On 06/26/2026 at 11:12 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ESPARZA FAMILY CHILD CARE
FACILITY NUMBER: 426217414

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in having an expired fire extinguisher receipt/service tag which poses a potential health, safety or personal rights risk to persons in care. LPA also observed yard equipment (metal shovels) accessible to children in care and an uncovered barbeque pit in the backyard.
POC Due Date: 07/06/2026
Plan of Correction
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Licensee will correct deficiency by either servicing or purchasing fire exguisher annualy and submit proof to LPA's Department email at bill.billones@dss.ca.gov no later than 07/06/2026. LPA notes Licensee coverd the barbeque pit and removed hazardous items to secure location during the inspection.
Type B
Section Cited
CCR
102425(j)(2)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in two infant files reviewed (Child #1 and Child #2) which poses a potential health, safety or personal rights risk to persons in care. Sleep logs reviewed were incomplete and not check every 15 minutes. Child #2 did not have sleep checks documented today.
POC Due Date: 07/06/2026
Plan of Correction
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Licensee will ensure sleep documentation is maintained for all infants under 24 months of age under their care. Licensee will review the Title 22 Infant Safe Sleep regulations and submit a written statement describing how they will ensure compliance to the LPA’s Department email no later than 07/06/2026.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Ana Tolentino
NAME OF LICENSING PROGRAM MANAGER:
Bill-Brian Billones
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/26/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/26/2026 12:01 PM - It Cannot Be Edited


Created By: Bill-Brian Billones On 06/26/2026 at 11:12 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: ESPARZA FAMILY CHILD CARE
FACILITY NUMBER: 426217414

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in Licensee and assistant missing valid training from approved vendor which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/06/2026
Plan of Correction
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Licensee will register for and complete training in pediatric first aid and CPR training from an approved vendor (American Red Cross, American Heart Association, or EMSA approved) no later than 07/06/2026 and submit certifcate to LPA's Department email. Licensee will ensure any assistants left alone with children also have valid training certificates.
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 1 infant file (Child #1) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/06/2026
Plan of Correction
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Licensee will correct deficiency and ensure the LIC 9227 is availble for Department inspection.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Ana Tolentino
NAME OF LICENSING PROGRAM MANAGER:
Bill-Brian Billones
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/26/2026


LIC809 (FAS) - (06/04)
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