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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216283
Report Date: 07/15/2022
Date Signed: 07/15/2022 02:46:00 PM

Document Has Been Signed on 07/15/2022 02:46 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:ALAPIZCO FAMILY CHILD CAREFACILITY NUMBER:
426216283
ADMINISTRATOR:LAURA ALAPIZCOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 314-4548
CITY:SANTA MARIASTATE: CAZIP CODE:
93454
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
07/15/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Laura AlapizcoTIME COMPLETED:
03:10 PM
NARRATIVE
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On 7/15 /2022 at 2:30 PM,, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced case management inspection. LPA met with Licensee, Laura Alapizco and informed her of the purpose of this inspection. This report is to document deficiencies found during the course of the investigation.

During this investigation, it was ascertained that in mid-Januray Licensee was questioned about who changes children’s diapers and if children are ever left alone with Licensee’s spouse. Licensee was also informed that child mentioned being touched by Licensee’s spouse.

Licensee did not notify Community Care Licensing of the aforementioned incident within 24 hours upon the occurrence of the incident. Licensee, Laura Alapizco stated that the reason this was not reported was because she felt these were questions the parent was asking. Licensee and parent communicated and Licensee felt that everything was figured out because the parent continued receiving services from the facility

During today's inspection, deficiencies were cited under CCR Title 22 Division 12 on LIC 809 D

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

Exit interview conducted and report was reviewed with the Licensee, Laura Alapizco.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/15/2022
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 07/15/2022 02:46 PM - It Cannot Be Edited


Created By: Francisca Velazquez On 07/15/2022 at 02:08 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: ALAPIZCO FAMILY CHILD CARE

FACILITY NUMBER: 426216283

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/22/2022
Section Cited
CCR
10

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(c) In addition to the events specified in Health and Safety Code Sections...the licensee shall report the following events to the Department: (1) Any suspected child abuse or neglect, as defined in Penal Code Section 11165.6, of any child in care...This requirement was not met as evidenced by:
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Licensee agrees to make sure to report any and all unusual incidents within the timeframe allowed. Licensee agrees to submit via email a written statement notifying the department how she will ensure to report all unusual incidents.
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Based on interviews concuted during the investigation, it was asertain that Licensee was questioned about these allegations in mid-January and did not report this unusual incident to the department. This is a potential risk to the health and safety of the chidren 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.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/15/2022


LIC809 (FAS) - (06/04)
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