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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334812664
Report Date: 10/25/2019
Date Signed: 10/25/2019 12:22:39 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:ESCUELA DE LA RAZA UNIDA, INC. CHILD DEV. CTR.FACILITY NUMBER:
334812664
ADMINISTRATOR:CARMELA F. GARNICAFACILITY TYPE:
850
ADDRESS:316 NORTH CARLTONTELEPHONE:
(760) 922-9080
CITY:BLYTHESTATE: CAZIP CODE:
92225
CAPACITY:52CENSUS: 32DATE:
10/25/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Angela GreenTIME COMPLETED:
12:40 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Taadhimeka Zeigler, Elyse Jones, and Nelson Zuniga conducted a case management visit, it was determined that staff #1 was fingerprint cleared but not associated to the facility. The staff has been employed for two months.

101170(e)(2) Criminal Record Clearance. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance as specified in Section 101170(f).

See LIC 809D for the deficiency cited.

CIVIL PENALTIES HAVE BEEN ASSESSED FOR $100 PER DAY, FOR A MAXIMUM OF 5 DAYS FOR THE FIRST OFFENSE.

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/guardians of children newly enrolled at the facility for the next 12 months.

The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: ESCUELA DE LA RAZA UNIDA, INC. CHILD DEV. CTR.
FACILITY NUMBER: 334812664
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/25/2019
Section Cited

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Criminal Record Clearance-All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 101170(f) .
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This requirement was not met as evidenced by: It was determined that staff #1 was fingerprint cleared but not associated to the facility. This poses a risk to the children in care.
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*CIVIL PENALTIES ASSESSED"

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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: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2019
LIC809 (FAS) - (06/04)
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