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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 406215689
Report Date: 08/30/2024
Date Signed: 08/30/2024 03:19:21 PM

Document Has Been Signed on 08/30/2024 03:19 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:OSIO FAMILY CHILD CAREFACILITY NUMBER:
406215689
ADMINISTRATOR/
DIRECTOR:		VERONICA F. OSIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 234-4356
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
08/30/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:01 PM
MET WITH:Veronica OsioTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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On 8/30/24, at 201 PM, Licensing Program Analysts (LPAs) Elvin Baddley and Matthew Sapien made a unannounced Case Management Inspection of the abovementioned Family Child Care Home (FCCH). LPAs met with Veronica Osio, LIcensee of the CCC and explained the nature and purpose of the inspection. LPAs, in the company of Licensee toured the interior and exterior of the FCCH, in its entirety. LPAs notes four children are present, along with an Assistant (Licensee's spouse, cleared and associated) providing care and supervision.

During the tour of the FCCH, at 2:10 PM, LPAs observed C1 in a crib with a pillow. At 2:11 PM, LPAs observed C2 in a crib with a blanket. C1 had awaken from a nap, while C2 was in the process of napping. LPAs reminded Licensee cribs and plays yards are to be free of loose articles and objects.

A Type B Deficiency is being cited based on LPAs' observation/interviews/record reviews pursuant to Title 22 of the CA Code of Regulations and CCR 102425 (b) (refer to LIC 809-D). Licensee was provided a copy of their Appeal Rights (LIC 9058) and their signature on this form acknowledges receipt of these rights.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility Representative Veronica Osio.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2024
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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Document Has Been Signed on 08/30/2024 03:19 PM - It Cannot Be Edited


Created By: Elvin Baddley On 08/30/2024 at 02:48 PM
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: OSIO FAMILY CHILD CARE
FACILITY NUMBER: 406215689

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/13/2024
Section Cited
CCR
102425(b)

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Cribs or play yards shall be free from all loose articles and objects. This requirement was not met as evidenced by the following: LPAs observed C1 in crib with a pillow and C2 in cribs with blanket. This poses a potential risk to health, safety or personal rights of persons in care.
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Licensee to provide CCLD an narrative outlining steps to ensure cribs are free of loose acticles or objests. The aforementioned to be submitted to CCLD (elvin.baddley@dss.ca.gov) by the close (5:00 PM) on 9/13/24.

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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.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Elvin Baddley
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2024


LIC809 (FAS) - (06/04)
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