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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 421712407
Report Date: 08/08/2023
Date Signed: 08/08/2023 03:08:05 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/08/2023 and conducted by Evaluator Martina Jimenez
COMPLAINT CONTROL NUMBER: 17-CC-20230808084352
FACILITY NAME:CARPENTER FAMILY CHILD CAREFACILITY NUMBER:
421712407
ADMINISTRATOR:CARPENTER, JULIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 733-2204
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:14CENSUS: 21DATE:
08/08/2023
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Julia CarpenterTIME COMPLETED:
11:59 AM
ALLEGATION(S):
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Over capacity
INVESTIGATION FINDINGS:
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On 8/8/2023, at 9:20 AM, Licensing Program Analysts (LPAs) Martina Jimenez and German Negrete conducted an unannounced inspection of the Family Child Care Home (FCCH) to initiate a compliant investigation reference to the above allegation.

LPAs met with , Licensee of the Julia Carpenter, licensee, Ashleigh Taubman, assistant, Alyssa Barraza, assistant, and Kirstin Pinkerton, assistant, arrived at 11:25 AM, to the FCCH. LPA Jimenez explained the nature and purpose of the investigation. LPAs observed three (3) infants and eighteen (18) children in care at the time of the inspection.

The investigation included one (1) unannounced inspections, LPAs observation, interview with licensee, review of children's files, and, documents obtained during the inspection.

CONT LIC 9099-C & LIC 9099D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 17-CC-20230808084352
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: CARPENTER FAMILY CHILD CARE
FACILITY NUMBER: 421712407
VISIT DATE: 08/08/2023
NARRATIVE
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The allegation references the facility is operating over capacity.

LPAs observation, interview with licensee and documents reviewed revealed FCCH is operating over capacity. On 8/8//2023, LPAs observed three (3) infants and eighteen (18) children in care at the time of the inspection.

Based on LPA’s observation, interview with licensee, record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulation, (Title 22 Division 12 and 102416.5(d), is being cited on the attached LIC 9099 D).

Today, deficiency cited under Title 22 Division 12, Appeal rights provided to licensee.

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 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 LIC 9099 and LIC 9099 D.


LPA provided the Licensee a Notice of Site (LIC 9213) visit which was posted in the LPA's presence. this REPORT MUST BE FILED IN FACILITY FILE AND MADE AVAILABLE FOR PUBLIC REVIEW FOR 3 YEARS. LPA observed the "Notice of Site Visit" posted. FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 17-CC-20230808084352
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CARPENTER FAMILY CHILD CARE
FACILITY NUMBER: 421712407
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/09/2023
Section Cited
CCR
102416.5(f)
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The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children.

LPAs observation reveal that Licensee is caring for more than fourteen (14) at once on 8/8/2023. This poses an immediate risk
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Licensee will submit a written POC on how licensee will prevent future incidents from occurring to CCLD by 8/9/2023, via email: Martina.Jimenez@dss.ca.gov
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to health, safety or personnel rights of persons in care.
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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.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Martina Jimenez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3