<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 406216433
Report Date: 05/28/2025
Date Signed: 05/28/2025 05:06:02 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
02/28/2025 and conducted by Evaluator Matthew Sapien
COMPLAINT CONTROL NUMBER: 17-CC-20250228091616
FACILITY NAME:AVALOS FAMILY CHILD CAREFACILITY NUMBER:
406216433
ADMINISTRATOR:RICARDA AVALOS CALDERONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 536-0296
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:14CENSUS: 4DATE:
05/28/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Ricarda AvalosTIME COMPLETED:
05:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Adult in the home engaged in a physical altercation in the presence of child(ren)
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/28/25, at 2:00 PM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced inspection of the aforementioned Family Child Care Home (FCCH) to deliver a finding with respect to the allegation noted above. LPA met with Ricarda Avalos, Licensee of the FCCH, and explained the nature and purpose of the inspection. LPA, in the company of the Licensee, toured the FCCH. LPA notes 4 children in care, one of whom is an infant, at the time of the inspection. LPA notes the Licensee's daughter-in-law as the other adult in the home at the time of the visit (cleared and associated).

The investigation included interviewing the Licensee on 3/7/25, the Complainant, and a sampling of parents of children in care. Pertinent documents and reports were also reviewed by the LPA. As noted, the complaint alleges that an adult in the household engaged in a physical altercation in the presence of children, Child 1 (C1), Child 2 (C2), and Child 3 (C3) (see Confidential Names List). Through confirmation from FCCH records, police records, interviews with the Licensee, staff assistant, and day care parents, the preponderance of evidence standard has been met, therefore the above allegation is found (CONT. 9099-C, Page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
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 5
Control Number 17-CC-20250228091616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: AVALOS FAMILY CHILD CARE
FACILITY NUMBER: 406216433
VISIT DATE: 05/28/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 or Health and Safety Codes are being cited on the attached LIC 9099D.

An exit interview was conducted with Facility Representative, Ricarda Avalos. Facility Representative was provided with Appeal Rights (LIC 9058) and a Notice of Site Visit (LIC 9213). Notice of Site Visit must be posted for 30 days or a civil penalty of $100 may apply.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 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
02/28/2025 and conducted by Evaluator Matthew Sapien
COMPLAINT CONTROL NUMBER: 17-CC-20250228091616

FACILITY NAME:AVALOS FAMILY CHILD CAREFACILITY NUMBER:
406216433
ADMINISTRATOR:RICARDA AVALOS CALDERONFACILITY TYPE:
810
ADDRESS:1922 BEECHWOOD DRIVETELEPHONE:
(805) 536-0296
CITY:PASO ROBLESSTATE: CAZIP CODE:
93446
CAPACITY:14CENSUS: 4DATE:
05/28/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Ricarda AvalosTIME COMPLETED:
05:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Adult in the home exhibited a firearm and engaged in threatening behavior in the presence of child(ren)
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/28/25, at 2:00 PM, Licensing Program Analyst (LPA) Matthew Sapien conducted an unannounced inspection of the aforementioned Family Child Care Home (FCCH) to deliver a finding with respect to the allegation noted above. LPA met with Ricarda Avalos, Licensee of the FCCH, and explained the nature and purpose of the inspection. LPA, in the company of the Licensee, toured the FCCH. LPA notes 4 children in care, one of whom is an infant, at the time of the inspection. LPA notes the Licensee's daughter-in-law as the other adult in the home at the time of the visit (cleared and associated).

The investigation included interviewing the Licensee on 3/7/25, the Complainant, and a sampling of parents of children in care. Pertinent documents and reports were also reviewed by the LPA. As noted, the complaint alleges that an adult in the household exhibited a firearm and engaged in threatening behavior in the presence of children, Child 1 (C1), Child 2 (C2), and Child 3 (C3) (see Confidential Names List). Through confirmation from FCCH records, police records, interviews with the Licensee, staff assistant, and day care parents, this allegation was not corroborated. (CONT. 9099-C, Page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 17-CC-20250228091616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: AVALOS FAMILY CHILD CARE
FACILITY NUMBER: 406216433
VISIT DATE: 05/28/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Although the abovementioned allegation may have been with merit, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore, the allegation is deemed UNSUBSTANTIATED.

An exit interview was conducted with Facility Representative, Ricarda Avalos. Facility Representative was provided with Appeal Rights (LIC 9058) and a Notice of Site Visit (LIC 9213). Notice of Site Visit must be posted for 30 days or a civil penalty of $100 may apply.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 17-CC-20250228091616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: AVALOS FAMILY CHILD CARE
FACILITY NUMBER: 406216433
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/28/2025
Section Cited
CCR
102423(a)(2)
1
2
3
4
5
6
7
(a) Each child shall be accorded safe, healthful and comfortable accommodations, furnishing and equipment...(2) To receive safe, healthful, and comfortable accomodations, furnishings, and...
1
2
3
4
5
6
7
Licensee will submit a written statement on how to ensure the personal rights of children in care and to refrain from any incidents that threaten the health and safety of children in care. This must be submitted to Matthew Sapien by close of business day (5:00 PM) on 5/29/25. matthew.sapien@dss.ca.gov
8
9
10
11
12
13
14
This requirement is not met as evidence by:

Based on a file review from the FCCH and police records, along with interviews conducted with the Licensee, staff assistant, and a sampling of day care parents, C1, C2, and C3 (Confidental Names List) were present during the physical altercation. This poses a potential risk to health and safety of children in care.
8
9
10
11
12
13
14
CCR
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Matthew Sapien
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5