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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426216240
Report Date: 10/29/2025
Date Signed: 10/29/2025 01:32:58 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
09/24/2025 and conducted by Evaluator Seena Parsapour
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20250924110818
FACILITY NAME:AGUILAR FAMILY CHILD CAREFACILITY NUMBER:
426216240
ADMINISTRATOR:MARIBEL AGUILARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 631-0349
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 5DATE:
10/29/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Maribel AguilarTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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1.) Licensee did not report unusual incident.


INVESTIGATION FINDINGS:
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On 10/29/2025, at 10:30 AM PST, Licensing Program Analyst (LPA) Seena Parsapour made an unannounced inspection to the abovementioned Family Child Care Home (FCCH) to deliver the findings and complete the investigation with regard to the above allegation. LPA met with Maribel Aguilar, Licensee of the FCCH. LPA notes five (5) children and one (1) assistant are present at the time of the inspection.

The allegation that Licensee did not report the unusual incident to Community Care Licensing Division (CCLD) was investigated by LPA Parsapour. The investigation included record reviews, and interviews with the Licensee, complainant, and parents of children currently enrolled at the FCCH. The investigation revealed that on 09/23/2025, a child in care sustained a head injury resulting in visible bruising. Record reviews and interviews with the aforementioned parties indicated that the incident was not reported to CCLD within the required timeframe. The Licensee failed to notify the Department by telephone or fax within 24 hours and did not submit a written report (LIC624B) within seven days of the occurrence, as required by Title 22, California Code of Regulations, Section 102416.2(b). (Continued on 9099-C & 9099-A)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Seena Parsapour
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
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-20250924110818
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: AGUILAR FAMILY CHILD CARE
FACILITY NUMBER: 426216240
VISIT DATE: 10/29/2025
NARRATIVE
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Based on the evidence obtained, the preponderance of evidence standard has been met; therefore, the allegation that the licensee failed to report an unusual incident to the Department is SUBSTANTIATED.

A closing interview was conducted with Licensee. A deficiency was cited on the LIC 9099-D under the same section. Licensee was provided and advised of Appeal Rights (LIC 9058). A copy of this report was reviewed and provided to the Licensee. LPA explained the facility's required plan of correction (POC). Licensee's signature at the bottom of this report acknowledges Licensee received the reports and understand their rights.

The Notice of Site Visit was also provided to the Licensee as required by H&S Code Section 1596.817. The Notice of Site Visit must remain posted for 30 days or a civil penalty of $100.00 may apply.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Seena Parsapour
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
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
09/24/2025 and conducted by Evaluator Seena Parsapour
PUBLIC
COMPLAINT CONTROL NUMBER: 17-CC-20250924110818

FACILITY NAME:AGUILAR FAMILY CHILD CAREFACILITY NUMBER:
426216240
ADMINISTRATOR:MARIBEL AGUILARFACILITY TYPE:
810
ADDRESS:411 PRESIDIO WAYTELEPHONE:
(805) 631-0349
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 5DATE:
10/29/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Maribel AguilarTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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1.) Child fell off bed and sustained head injury.
INVESTIGATION FINDINGS:
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On 10/29/2025, at 10:30AM PST, Licensing Program Analyst (LPA) Seena Parsapour conducted an unannounced inspection of the abovementioned Family Child Care Home (FCCH) to deliver findings with respect to the allegation noted above. LPAs met with Maribel Aguilar, Licensee of the FCCH, and explained the nature and purpose of the inspection. LPAs, in the company of the Licensee, toured the interior and exterior of the FCCH. LPA notes that five (5) children are in care at the time of the inspection, along with one (1) assistant, providing care and supervision.

The investigation included two unannounced inspections, as well as interviews with the licensee, complainant, and parents of children currently enrolled at the FCCH. An interview of the child who witnessed the incident was attempted, however, the child refused to participate in the interview. Pertinent documents were also reviewed by the LPA.

(Cont. 9099-C, Page 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Seena Parsapour
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
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-20250924110818
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: AGUILAR FAMILY CHILD CARE
FACILITY NUMBER: 426216240
VISIT DATE: 10/29/2025
NARRATIVE
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Interviews, inspections and documents reviewed did not corroborate the allegation noted above.

Although the allegation may have been made with merit, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore, the allegation listed above is deemed UNSUBSTANTIATED.

An exit interview was conducted with Licensee, Maribel Aguilar. Licensee 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: Seena Parsapour
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 17-CC-20250924110818
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: AGUILAR FAMILY CHILD CARE
FACILITY NUMBER: 426216240
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/07/2025
Section Cited
CCR
102416.2(b)
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102416.2(b) - Reporting Requirements: The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home.
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Licensee will retroactively report incident, review reporting requirements, & submit to the Department (seena.parsapour@dss.ca.gov) a written statement explaining how they plan on ensuring compliance with this regulation moving forward, no later than 11/07/2025.
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Based on interviews and record review, the licensee did not comply with the section cited above in that the licensee failed to report an unusual incident involving a child's injury to the Department.
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This poses a potential health, safety or personal rights risk to 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: Seena Parsapour
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5