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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304310092
Report Date: 06/14/2021
Date Signed: 06/14/2021 02:58:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:ORTIZ DE CASTILLO. SILVIAFACILITY NUMBER:
304310092
ADMINISTRATOR:CASTILLO, SILVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 554-4532
CITY:SANTA ANASTATE: CAZIP CODE:
92703
CAPACITY:14CENSUS: 12DATE:
06/14/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Silvia Ortiz De Castillo, LicenseeTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Yesenia Villa conducted an unannounced case management inspection regarding a self reported unusual incident that was reported to the department on 06/09/21. LPA Villa was greeted by Licensee Silvia Ortiz De Castillo, there were 12 children present in the backyard with two assistants, Cynthia Navarro and Mariela Infante besides the licensee. A review of the Facility Personnel Report Summary on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The incident reported on 06/09/21 involved innapropiate behavior between two day care children. The licensee self-reported the incident to the department and also reported the case to other appropriate agencies. During this inspection LPA Villa conducted interviews with the Licensee, assistants and three children. LPA VIlla conducted a walk through of the play area where the incident occurred. The play area in which the incident occurred has obstructed views, the play house and the kitchen toys will be re-arranged per the licensee to provide a clear view of the play yard.

Disclosures made indicate the children were supervised by the two assistants at all times. One of the assistants was in the same area as the children within two steps from the playhouse where the incident occurred supervising two additional children. Children's parents were notified as stated by the Licensee on the same day that the incident occurred. Reporting requirement were met. During today's interviews the information obtained collaborated with the information reported by the Licensee. There were no disclosures made indicating the incident occurred due to lack of supervision.


There were no citations cited during this case management inspection. No Title 22 Regulation violations observed.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021
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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