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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566217002
Report Date: 06/10/2026
Date Signed: 06/10/2026 01:20:08 PM

Document Has Been Signed on 06/10/2026 01:20 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:ESPITIA FAMILY CHILD CAREFACILITY NUMBER:
566217002
ADMINISTRATOR/
DIRECTOR:
ERENDIRA ESPITIA ROBLESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 793-9863
CITY:OXNARDSTATE: CAZIP CODE:
93030
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
06/10/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Ashley HernandezTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
NARRATIVE
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On June 10, 2026, at 9:00AM, Licensing Program Analyst (LPA) Cynthia Alvarez and conducted an unannounced Required – Annual inspection at the Family Child Care Home (FCCH). LPA met with assistant Ashley Hernandez, they stated Licensee was out at personal appointment. LPA advised the assistant of the purpose of the inspection. LPA was unable locate the criminal clearance for the assistant, they stated they had recently turned 18 years old and had not completed the criminal clearance process. The assistant provided LPA a tour of the home, inside and outside. There were 4 children present at the time of the inspection. The FCCH operates Monday - Saturday from 6:00AM – 4:00PM. At 10:00AM licensee Erendira Espitia arrived at the FCCH. LPA reminded Licensee that children that turn 18 years old must complete their criminal clearance, they stated they will have their assistant complete as soon as possible.

The FCCH is a 3- bedroom, 3-bathroom, 2-story home . The living room, dining room, 1 bathroom, and backyard are used for childcare. The entire second floor, which includes 3 bedrooms and 2 bathrooms, is not utilized and is off limits for childcare. LPA observed a gate at the bottom of the stairs making the second floor inaccessible to the children. LPA also observed a gate in the kitchen, making it inaccessible to the children in care. During the inspection age-appropriate toys and furniture were observed accessible to children. During the inspection LPA did not observe any hazards or toxins accessible to children in care. Licensee verified that there are no ammunition or weapons in the home. LPA did not observe any bodies of water in the FCCH.

LPA and licensee toured the enclosed backyard. LPA observed there is shading to afford the children's comfort. The play area has age-appropriate toys and day-care equipment, that were varied, in good condition and age-appropriate. LPA and licensee discussed active supervision when children are in the outdoor yard. LPA observed 2 dogs in the backyard; Licensee confirmed the dogs are fully vaccinated but are put away in their crates when the children go out to play


Continued on LIC809-C
NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Cynthia Alvarez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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.

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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: ESPITIA FAMILY CHILD CARE
FACILITY NUMBER: 566217002
VISIT DATE: 06/10/2026
NARRATIVE
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LPA observed the required licensing documents posted in a prominent location within the home. LPA requested to review the fire/disaster drill log, the licensee stated they are not conducting drills. LPA reminded licensee that drills must be conducted every 6 months and must be logged so that the department can review during inspections. The fire extinguisher (2A10BC) located in the kitchen was purchased October 27, 2025. LPA reminded licensee that the fire extinguisher needs to be serviced or purchased yearly. A smoke and carbon monoxide detector was found in the FCCH; The detectors were tested at 10:14AM and were found to be functioning properly. LPA reminded licensee to routinely check detectors to ensure they are functioning properly and have working batteries. LPA requested to review the children’s roster, licensee stated they did not have a current roster. LPA reminded licensee they must keep a current roster of the children enrolled and must keep a copy of the roster for 3 years.

LPA reviewed 5 children’s files. The files were observed to be incomplete all 5 child’s files were missing or had outdated immunization records. Licensee stated that they were only collecting a copy of the immunization records at admission but were requesting updated copies. LPA reminded licensee they must request children’s every time they receive a new immunization. A review of the infant’s file found that the licensee is not noting the 15-minute sleep checks. Licensee stated they were keeping logs but stopped in March 2026 due to forgetting the requirements. Licensee stated they will begin noting the sleep checks again. LPA reviewed licensee records. Licensee’s Pediatric CPR/First Aid certification is valid through April 2028. Licensee’s Mandated Reporter Training will expire in June 2027. LPA also reviewed assistant’s file and was found to be complete; they had active Pediatric CPR/First Aid certification and Mandated Reporter Training, both certificates are valid until April 2028. Assistant did not have a TB test present, licensee stated they have an appointment to complete their test later this month.

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 LIC809-C

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Cynthia Alvarez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026
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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: ESPITIA FAMILY CHILD CARE
FACILITY NUMBER: 566217002
VISIT DATE: 06/10/2026
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 childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA Cynthia Alvarez informed licensee Erendira Espitia that this report dated 05/14/26 documents 1 Type A citations which shall be posted for 30 consecutive days as there is/are immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Cynthia Alvarez informed the licensee Erendira Espitia to provide a copy of this licensing report dated 6/10/26 that documents any Type A citations 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.

During the exit interview, licensee, confirmed that there are no Registered Sex Offenders living in the home 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.

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

During today's inspection there was 1 Type A and 2 Type B. Appeal Rights were provided to licensee.

Exit interview conducted and report was reviewed with licensee, Erendira Espitia, in Spanish.

NAME OF LICENSING PROGRAM MANAGER: Susana Martinez
NAME OF LICENSING PROGRAM ANALYST: Cynthia Alvarez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/10/2026 01:20 PM - It Cannot Be Edited


Created By: Cynthia Alvarez On 06/10/2026 at 11:49 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: ESPITIA FAMILY CHILD CARE

FACILITY NUMBER: 566217002

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above as they had assistant caring for children who did not have criminal clearance which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/12/2026
Plan of Correction
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Licensee will have assitant complete their criminal clearance process by the date stated above and will send a receipt that the process has been completed. They can send the receipt to 805-689-4212 or cynthia.alvarez@dss.ca.gov
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Susana Martinez
NAME OF LICENSING PROGRAM MANAGER:
Cynthia Alvarez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/10/2026 01:20 PM - It Cannot Be Edited


Created By: Cynthia Alvarez On 06/10/2026 at 11:49 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: ESPITIA FAMILY CHILD CARE

FACILITY NUMBER: 566217002

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
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 interview and record review, the licensee did not comply with the section cited above in they are not noting the 15 minute safe sleep checks for the 4 infants enrolled which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/17/2026
Plan of Correction
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Licensee will start noting the safe sleep check and logging them. Licensee will send completed logs for a week to LPA by the date noted above. They can send them to LPA via 805-689-4212 or cynthia.alvarez@dss.ca.gov
Type B
Section Cited
CCR
102418(g)(1)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above as they were not upting the immunization records for the children enrolled which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/26/2026
Plan of Correction
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Licensee will collect the immunization records for all the children enrolled and will continue to update them everytime a child gets a new immunization. Licensee will send a copy of the most updated immmunization records for the children enrolled to LPA by the date noted above. They can send the records to 805-689-4212 or cynthia.alvarez@dss.ca.gov
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Susana Martinez
NAME OF LICENSING PROGRAM MANAGER:
Cynthia Alvarez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2026


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