<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136610512
Report Date: 09/09/2021
Date Signed: 09/09/2021 03:05:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:GARCIA, DALILA FAMILY CHILD CAREFACILITY NUMBER:
136610512
ADMINISTRATOR:DALILA GARCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 562-0692
CITY:CALEXICOSTATE: CAZIP CODE:
92231
CAPACITY:14CENSUS: 5DATE:
09/09/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Dalila GarciaTIME COMPLETED:
03:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On September 9, 2021, at 2:20 p.m., Licensing Program Analyst (LPA), Gloria Gonzalez conducted an unannounced Case Management Inspection and met with the Licensee, Dalila Garcia.  LPA disclosed the purpose of the inspection which is to inspect the backyard and was granted entry into the facility by the Licensee.  Five (5) children and two (3) staff were present in the facility during this inspection.  This facility is a two story, 4 bedroom, 3 bathroom house. Licensee accompanied LPA's inside and out of the facility during this inspection. The following areas used for child care are: kitchen, dining room, living room, family room, bathroom 1, and backyard.  Off limits areas are bedroom 1, garage, all upstairs, (bedrooms 2, 3, 4, bathroom 2, 3), and are inaccessible through use of door locks. The backyard was closed per Licensee due to being under construction since last Annual Inspection on 8/3/21. The backyard was inspected today and approved to be used for daycare use as of this date. The change of location inspection on 9/9/20 included the backyard in the fire clearance that was granted on 9/2/20.

No deficiencies cited.

The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.  LPA provided notice of site visit (LIC 9213) and observed it being posted at the facility.

LPA interpreted and explained the inspection report to licensee, licensee stated she understood.

An exit interview was conducted with the licensee.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Gloria GonzalezTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1