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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216283
Report Date: 08/24/2023
Date Signed: 08/24/2023 03:36:07 PM

Document Has Been Signed on 08/24/2023 03:36 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: 14DATE:
08/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Laura AlapizcoTIME COMPLETED:
03:50 PM
NARRATIVE
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On 08/24/2023 at 10:45 AM, Licensing Program Analyst (LPA) Francisca Velazquez conducted an unannounced Required Annual Inspection of the Family Child Care Home (FCCH). LPA met with Laura Alapizco, licensee of the FCCH. LPA discussed the purpose of the inspection and toured the interior and exterior of the home. LPA observed 14 children present during today's inspection.

At 10:45 AM, LPA observed 14 children present and notes only one child is school age.

At 10:45 AM, LPA observed licensee, S2 and S3 offering care and supervision to children in care. LPA observed S5 in the home but not providing care and supervision. At about 11:15 AM, LPA observed S4 arrive to the home. Licensee reported S4, is her adult child and lives in the home. Per guardian, S4 is not fingerprint cleared as S4 reflects her criminal record clearance is in process.

This is a single-story home that consists of three (3) bedrooms, two (2) bathrooms, living/dining room, kitchen, laundry closet, garage, and outdoor yard. The main day care areas are living/dining area, kitchen, bathroom, and outdoor yard. Meanwhile, the garage, three (3) bedrooms, one (1) bathroom, laundry closet and part of the outdoor yard are inaccessible to children in care.

LPA observed the day care area to be clean. LPA observed there is enough spacing for the comfort of children present today. LPA observed there is ventilation to afford the children in care. LPA observed age-appropriate books, toy, games, tables, and chairs for children in care. In the kitchen, LPA observed that sharps are stored in an elevated cabinet and in a locked drawer. LPA observed cleaning compounds are stored in an elevated cabinet in the kitchen, the garage and in the laundry closet. LPA observed medication is stored in an elevated cabinet in the kitchen and licensee’s bedrooms. LPA notes the garage is made inaccessible by means of a door safety knob and bedrooms are locked and secured with a gate. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Page: 1 of 9
Document Has Been Signed on 08/24/2023 03:36 PM - It Cannot Be Edited


Created By: Francisca Velazquez On 08/24/2023 at 01:46 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: 08/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102370(d)(1)
Criminal Record Clearance
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that Perla Guadalu Lomeli Bermudez does not have criminal record clearance and per licensee has been living in the home for one year which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 08/25/2023
Plan of Correction
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Licensee agrees to follow up with Guardian to figure out why fingerprints have not cleared. Licensee agrees to submit a written plan detailing how licensee will make sure that all adults are cleared prior to being in the FCCH by 8/25/23 via email to Francisca.Velazquez@dss.ca.gov
Type A
Section Cited
CCR
102416.5(d)(2)
Staffing Ratio and Capacity
(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that there were 14 children present with only one being a school-age child which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 08/25/2023
Plan of Correction
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Licensee agrees to submit a written plan detailing how she will ensure to operate within the capacity of her license by 8/25/23 via email to Francisca.Velazquez@dss.ca.gov
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: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023


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Document Has Been Signed on 08/24/2023 03:36 PM - It Cannot Be Edited


Created By: Francisca Velazquez On 08/24/2023 at 01:46 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: 08/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.543
Licensure Requirements
Every family day care home for children shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in that licensee does not have a operable carbon monoxide detector in the FCCH which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Licensee will purchase a carbon monoxide detector and submit proof of an operable carbon monoxide detector in the FCCH by 8/31/23 via email to Francisca.Velazquez@dss.ca.gov
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that licensee does not have a current mandated reporter training certificate readily accessible for review which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Licensee agrees to submit proof of current mandated reporter training certificate by 8/31/23 via email to Francisca.Velazquez@dss.ca.gov
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: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023


LIC809 (FAS) - (06/04)
Page: 3 of 9
Document Has Been Signed on 08/24/2023 03:36 PM - It Cannot Be Edited


Created By: Francisca Velazquez On 08/24/2023 at 01:46 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: 08/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.1(d)
Personnel Records
(d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that S1, S2, S3 and S4 do not have personnel files in the FCCH to review which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Licensee will create personnel files for all assistants working directly with children in care and will submit proof by 08/31/23 via email to Francisca.Velazquez@dss.ca.gov
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that S1, S2, S3 and S4 did not have immunization readily available for review during inspection which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Licensee agrees to submit proof of all personnel's immunization by 08/31/23 via email to Francisca.Velazquez@dss.ca.gov
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: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023


LIC809 (FAS) - (06/04)
Page: 4 of 9
Document Has Been Signed on 08/24/2023 03:36 PM - It Cannot Be Edited


Created By: Francisca Velazquez On 08/24/2023 at 01:46 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: 08/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(g)(1)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. (1) This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that C6-C14 did not have any immunizations on file, C1, C3 and C5 also did not have current immunizations on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Licensee will update all immunization for all children currently enrolled and will submit proof by 08/31/23 via email to Francisca.Velazquez@dss.ca.gov
Type B
Section Cited
CCR
102417(g)(7)
Operation of A Family Child Care Home
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that C6-C14 did not have any emergency card in the FCCH. Additionally, C1, C2, C4, C5 had an emergency card that was not completed or signed by the guardian which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Licensee will ensure all children enrolled in the FCCH has a current emergency card and will submit proof of emergency card by 08/31/23 via email to Francisca.Velazquez@dss.ca.gov
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: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023


LIC809 (FAS) - (06/04)
Page: 5 of 9
Document Has Been Signed on 08/24/2023 03:36 PM - It Cannot Be Edited


Created By: Francisca Velazquez On 08/24/2023 at 01:46 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: 08/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(8)
Operation of A Family Child Care Home
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that 12 out of the 14 children present during inspection were not documented on the facility roster which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Licensee will update facility roster will all enrolled children in care and will submit proof by 08/31/23 via email to Francisca.Velazquez@dss.ca.gov
Type B
Section Cited
CCR
102425(c)(2)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. The Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be maintained in the infant’s file and shall be available to the Department for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in that C6 and c14 do not have LIC 9224 in their file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Licensee agrees to update LIC 9224 for C6 and C14 and submit proof of LIC 9224 by 08/31/23 via email to Francisca.Velazquez@dss.ca.gov
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: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023


LIC809 (FAS) - (06/04)
Page: 6 of 9
Document Has Been Signed on 08/24/2023 03:36 PM - It Cannot Be Edited


Created By: Francisca Velazquez On 08/24/2023 at 01:46 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: 08/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)(D)(c)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
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Based on observation and record review, the licensee did not comply with the section cited above in that licensee reported she is not documenting 15 minute checks for infants under the age of 2 years which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/31/2023
Plan of Correction
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Licensee agrees to start documenting all 15 minute checks for all infants under the age of 2 years and will submit proof of 15 minute documentation by 08/31/23 via email to Francisca.Velazquez@dss.ca.gov
Section Cited
Deficient Practice Statement
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3
4
POC Due Date:
Plan of Correction
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2
3
4
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: 08/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2023


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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 CARE
FACILITY NUMBER: 426216283
VISIT DATE: 08/24/2023
NARRATIVE
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LPA and licensee toured the exterior of the FCCH. LPA notes the outdoor yard is completely fenced. In addition, LPA observed the sides of the outdoor yard are inaccessible to children by means of fences. LPA observed there is plenty of shade provide by mesh that has been added to the outdoor yard. LPA observed plenty of age-appropriate toys, chairs, and tables for children. Filtered water is accessible to children during the day by means of individual water cups. LPA and licensee discussed active supervision when children are outdoors.

Licensee stated that there are no weapons/ammunition in the home. Licensee stated she does not hold a foster family license. LPA observed licensee test smoke alarm at 11:30 AM and was operable. At 11:30 AM, licensee reported she does not have an operable carbon monoxide detector. LPA observed a fire extinguisher that was serviced on 06/12/23. Licensee was reminded to service or purchase a fire extinguisher annually. LPA reviewed emergency drill log and found the last emergency drill was conducted on 3/02/23 which is within 6 months of today’s date.

At around 11:45 AM, LPA conduct record review of licensee and personnel. LPA’s record review revealed, licensee does not have personnel file for licensee, S2, S3 and S4. In addition, licensee, S2, S3 and S4 do not have required immunizations accessible for review. LPA’s file review revealed S2, S3, and S4 have current mandated reporter training certificate but licensee does not have current mandated reporter training certificate readily accessible for review.

At around 12:30 PM, LPA conducted children record review and found children files to be incomplete. LPA’s record review revealed C6-C14 did not have any files at all in the FCCH for review. In addition, C1, C2, C3, C4, and C5 had incomplete children files in the FCCH. LPA found C1 did not have emergency card, emergency consent form or immunizations. LPA found C2 had a file with documentation, but the documentation was not filled out or signed by guardian. LPA found C3 had a file with documentation, but the documentation was not filled out or signed by guardian. LPA found C4 had a file with emergency card incomplete and not signed by guardian. LPA found C5 had a file with documentation, but the documentation was not filled out or signed by guardian. In addition, record review revealed C6 and C14 are under the age of one year and did not have Individualized Infant Sleep Plan, LIC 9227 in their file for review. Record review revealed licensee is not documenting 15-minute checks for C8, C6 and C14, all infants are under the age of two years. Lastly, LPA’s record review revealed licensee has facility roster but out of the 14 children present today only two children were documented in the facility roster. CONT 809-C
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC809 (FAS) - (06/04)
Page: 8 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 CARE
FACILITY NUMBER: 426216283
VISIT DATE: 08/24/2023
NARRATIVE
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Licensee is not providing Incidental Medical Services. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: htttp://www.ada.gov/childqanda.htm

LPA reviewed with Licensee Safe Sleep Regulations. LPA provided a Handout for Reporting Child Abuse and Neglect Training provided on line at www.ccld.ca.gov.

Licensee was reminded that it is her responsibility to know the regulations for Family Child Care Home and was advised to review Quarterly Updates and Provider Information Notices (PINs), Title 22 & Health & Safety Codes which can be accessed on-line athttps://www.cdss.ca.gov/inforesources/child-care-licensing

Today, deficiency cited under Title 22 Division 12, civil penalty access and Appeal rights given. 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.

Exit interview and review of report was conducted with licensee, Laura Alapizco. Notice of site visit and appeal rights were provided to licensee.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Francisca Velazquez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
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