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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566216241
Report Date: 04/26/2024
Date Signed: 04/26/2024 12:39:19 PM


Document Has Been Signed on 04/26/2024 12:39 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:ALFARO FAMILY CHILD CAREFACILITY NUMBER:
566216241
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
04/26/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sandra Alfaro StriblingTIME COMPLETED:
12:45 PM
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On April 26, 2024 at 9:30AM, Licensing Program Manager (LPM), George Mingle and Licensing Program Analysts (LPAs), Veronica Diaz and Susana Martinez met with Licensee, Sandra Alfaro Stribling, and Ignacio Cardenas Union Representative attended via TEAMS for an office meeting held at the Santa Barbara Regional Office.

Concerns regarding the following Title 22, Division 12 sections were discussed with licensee:
· 102417 Operation of a Family Child Care Home
· 102416.3 Alterations to Existing Buildings or Grounds
· 102423 Personal Rights
· 102425 Infant Safe Sleep
· 102421 Child's Records
· 102395 Penalties
· 102370 Criminal Record Clearance

In response to the discussion, licensee has agreed to the following:


Continued on 809-C


SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Veronica DiazTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


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: ALFARO FAMILY CHILD CARE
FACILITY NUMBER: 566216241
VISIT DATE: 04/26/2024
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· Licensee will attend an in-person/virtual family child care orientation at the earliest convenience discussed with LPA. Licensee will attended in person 5/23/2024
· Licensee shall submit a written statement indicating how she will maintain compliance with California Code of Regulations, Title 22, Division 12 at all times by 05/18/2024.
· Licensee will be placed on required inspections for next 2 years.
· Licensee will operate in compliance Title 22, Division 12 Child Care Regulations at all times.
In addition to the above regulations, LPM George Mingle reviewed and provided the following resources to licensee during this meeting:

· PIN 20-24-CCP Recently Approved Safe Sleep Regulations in Effect
· Safe Sleep – Frequently Asked Questions
· LIC 9227 Individual Infant Sleeping Plan
· Sample of 15 minute infant sleep tracking log

Upon receipt of this report, licensee shall post and provide copies of this licensing report to parents/guardian of children in care at the facility and to parent/guardians of children newly enrolled at the facility during the next 12 months. Licensee is to provide LIC 9224 for each child in care and have each parent sign the form that they have received a copy of the report LIC809.

THIS REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS.

An exit interview was conducted with licensee, Sandra Alfaro Stribling. A copy of this report and appeal rights given
SUPERVISOR'S NAME: George MingleTELEPHONE: (805) 562-0411
LICENSING EVALUATOR NAME: Veronica DiazTELEPHONE: (805) 562-0400
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2024
LIC809 (FAS) - (06/04)
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