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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 440709992
Report Date: 07/02/2025
Date Signed: 07/02/2025 02:17:36 PM

Document Has Been Signed on 07/02/2025 02:17 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:BUENA VISTA CHILDREN'S CENTERFACILITY NUMBER:
440709992
ADMINISTRATOR/
DIRECTOR:		CLAUDIA SOLANOFACILITY TYPE:
850
ADDRESS:113 TIERRA ALTA DR. #201&#203TELEPHONE:
(831) 728-6428
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 66TOTAL ENROLLED CHILDREN: 66CENSUS: 14DATE:
07/02/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Claudia SolanoTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
NARRATIVE
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On July 2, 2025, Licensing Program Analysts (LPAs) Darnella Barnes and Pedro Solorio-Gutierrez. conducted an unannounced Case Management visit in response to a self-reporting incident that happened on June 24, 2025. The purpose was explained to Site Supervisor Claudia Solano, who granted access.

The investigation reviewed two incidents involving Staff(S1) and a Child (C1) evaluating whether Child(C1)'s personal rights were violated under applicable regulations.

Incident 1: Alleged Pushing
Child (C1)reported that Staff(S1) pushed him with open hands on his back during a dispute he was having with another child(C2) over magnatiles. Staff(1) denied pushing him, stating her hands were merely “aligned” between two children that were fighting over magnatiles to de-escalate the situation. No staff directly witnessed the event. LPAs interviewed child(C1). Child(C1) could not confirm that Staff(S1) was behind him or pushed him as he only saw Child(C2)

Incident 2: Chin Touching
In a second incident, Staff (S2) directly observed Staff(S1) touch Child (C1)chin during a conversation involving the three of them. Staff (S1) admitted and demonstrated the contact, explaining she touched his chin to get him to look at her. Buena Vista’s policy states that physical contact is only permitted when necessary to protect a child’s immediate safety, such as preventing injury or harm. Under both facility policy and licensing standards, using physical means to control a child’s response—rather than verbal engagement—is not permitted unless it is for the child’s immediate safety. This action represents a clear violation of the child’s personal rights to dignity and bodily autonomy.

During today’s inspection, (1) “Type B” deficiency was identified on attached 809-D. Appeal rights provided.

Exit interview conducted and report was reviewed with Site Supervisor Claudia Solano.

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

NAME OF LICENSING PROGRAM MANAGER: Susy Cervantes
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 07/02/2025 02:17 PM - It Cannot Be Edited


Created By: Darnella Barnes On 07/02/2025 at 01:54 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: BUENA VISTA CHILDREN'S CENTER
FACILITY NUMBER: 440709992

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/02/2025
Section Cited
CCR
101223(a)(1)

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This regulation was not met as evidenced today, Staff (S2) directly observed Staff(S1) touch Child (C1)chin during a conversation involving the three of them. Staff (S1) admitted and demonstrated the contact.

This action poses a potential risk to the health and safety of the children in care.

To be accorded dignity in his/her personal relationsihps with staff and other persons.
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Facility will provide written documentation of trainingfor all staff regarding personal rights and when it is approopriate to touch a child in care.
Site supervisor will submit proof of training with signatures and dates via email by Plan of Correction due date, July 23, 2025.

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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.
Susy Cervantes
NAME OF LICENSING PROGRAM MANAGER:
Darnella Barnes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/02/2025


LIC809 (FAS) - (06/04)
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