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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 426216485
Report Date: 08/29/2024
Date Signed: 10/25/2024 10:27:38 AM

Document Has Been Signed on 10/25/2024 10:27 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA BARBARA CC RO, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:MEJIA FAMILY CHILD CAREFACILITY NUMBER:
426216485
ADMINISTRATOR/
DIRECTOR:		FELICIA MEJIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 757-3923
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 15DATE:
08/29/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:25 PM
MET WITH:Felicia MejiaTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
NARRATIVE
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Case Management Inspection was conducted by LPA S. Mendoza-Ceja, who met with Licensee Felicia Mejia. The purpose of today’s inspection was to conclude Complaint 17-CC-20240604153037. Upon arrival, LPA observed 15 children in care, of which 13 children were under the age of 5 (one child is in TK) and 2 infants were under the age of 2 years. LPA observed 13 children napping on mats, the Licensee was holding an infant, and another child was sitting on the couch watching television. Also present was Assistant #1. At 2:48 PM, a parent arrived and picked up two children. At 3:01 PM, another parent arrived and picked up two children. The census was reduced to 11 children during the visit.

The following Type A deficiency is cited on page #2 according to CCR, Title 22 Division 12 Regulations in regards to Staffing, Ratio and Capacity. Upon receipt, Licensee shall post and provide copies of this licensing report: to parents/guardians of children in care at the facility and to parents/guardian of children newly enrolled at the facility during the next 12 months. Licensee shall obtain signatures of parents/guardian on the Acknowledgement of Receipt of Licensing Reports LIC 9224.

Licensee was provided a copy of their Appeal Rights (LIC 9058) and Notice of Site Visit form (LIC 9213). Notice of Site visit must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Felicia Mejia.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Sylvia Ceja
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 08/29/2024 05:17 PM - It Cannot Be Edited


Created By: Sylvia Ceja On 08/29/2024 at 04:26 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: MEJIA FAMILY CHILD CARE
FACILITY NUMBER: 426216485

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/30/2024
Section Cited
CCR
102416.5(d)(2)

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Staffing Ratio and Capacity: 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.... 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:
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Correct Immediately.
Licensee stated she will be diligent about the number of children in care and not accept children who are not scheduled to be in care that may put over capacity.
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Based on observation, interview with Licensee, and record review the Licensee Mejia did not comply with the section cited above. Licensee was providing care to 15 children of which two infants and one TK which 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.
SUPERVISOR'S NAME:Maria Mueller
LICENSING EVALUATOR NAME:Sylvia Ceja
LICENSING EVALUATOR SIGNATURE:
DATE: 08/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/29/2024


LIC809 (FAS) - (06/04)
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