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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566208716
Report Date: 03/27/2024
Date Signed: 03/27/2024 03:07:22 PM

Document Has Been Signed on 03/27/2024 03:07 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:ALCAZAR FAMILY CHILD CAREFACILITY NUMBER:
566208716
ADMINISTRATOR:NAOMI ALCAZARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 483-8721
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
03/27/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Noemi SalazarTIME COMPLETED:
03:30 PM
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On March 27, 2024 at 1:40 PM Licensing Program Analysts (LPAs) Laura Villanueva and Veronica Diaz made an unannounced visit to conduct a Case Management-Deficiencies Inspection. LPAs met with licensee, Naomi Alcazar and explained the purpose of the inspection. LPAs and licensee toured the interior and exterior of the home. Licensee and her assistant was caring for 4 children at the time of the inspection.

LPAs cleared plan of corrections and created letter for citation issued 01/24/2024. Licensee provided proof of Mandated Reporter Training for herself (completed 02/05/2024) and assistant (01/26/2024). Licensee submitted CPR/First Aid card for herself with expiration dare of 10/08/2024. Jessie Ponce expiration date of 08/10/2025.

Licensee provided proof of Tdap and MMR vaccination for herself. A plan of correction letter was created.

Licensee explained to LPAs that one of the children present is her God daughter and does not have child file completed. LPAs issued technical violation for missing child file. C1's parent completed child file in presence of LPAs. While LPAs toured facility, Chemicals are accessible to children through the home. Licensee removed them in presence of LPAs. A technical violation was issued.


A notice of site visit was given and must remain posted for 30 days. No deficiencies issued today.
Exit interview conducted and report was reviewed with the licensee, Naomi Alcazar.
SUPERVISORS NAME: George Mingle
LICENSING EVALUATOR NAME: Laura Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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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