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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841642
Report Date: 10/21/2021
Date Signed: 10/21/2021 10:05:31 AM

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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:VASQUEZ FAMILY CHILD CAREFACILITY NUMBER:
334841642
ADMINISTRATOR:VASQUEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 541-3251
CITY:INDIOSTATE: CAZIP CODE:
92203
CAPACITY:14CENSUS: 5DATE:
10/21/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Maria VasquezTIME COMPLETED:
10:35 AM
NARRATIVE
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On October 21,2021@8:15 a.m., Licensing Program Analysts (LPAs) Blanca Ruiz and Samuel Lopez conducted an inspection with licensee, Maria Vasquez and assistant Manuel Vasquez to follow up on incidents learned and observed during the inspection conducted on 07/08/2021 related to the complaint investigation # 09-CC-20210707143630.
During inspection, it was learned that licensee provide care and supervision at the facility in the “off limit” garage area; however, change was not reported to the Riverside Child Care Regional Office since 2019. Use of the “off limit area” starting date was not specified by licensee; however, during initial inspection at the facility, children and licensee's assistant confirmed the use of the garage for the daycare children. The following items were observed by LPA: A big screen television, a big couch and a changing table among other appliances to accommodate children in care. In addition, it was also observed during the inspection conducted on 07/08/21 an infant napping in a car seat. Child was observed strapped to a car seat for approximately 1-3 minutes while the LPA introduce herself and explained to the licensee and licensee’s assistant the reason for the inspection. Licensee was advised to move the infant to a crib or play yard. Licensee unstrapped the child from the car seat and place him/her on a cot. In addition, the licensee and licensee’s assistant was consulted regarding New Safe Sleep Regulations and the Provider Information Notice (PIN) 20-24-CCP regarding Safe Sleep Regulations that were in effect as of September 15, 2020. Licensee stated that she will immediately cease practice and understood that infants should never be left in a car seat to sleep.

The above actions/observations constitute violations of Title 22 regulations.

Please see LIC 809-D for deficiencies cited.

Exit interview conducted and report was reviewed with the Licensee Maria Vasquez.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-SilvaTELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2021
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 3
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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: VASQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 334841642
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/22/2021
Section Cited

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If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible. This requirement was not met as evidence by: The licensee admitted leaving an infant in a car set to sleep for an extensive period of time while infant was in care at the facility.
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Per licensee she did not remove the child from the car seat because the child would wake up.
"This poses an immediate Health and Safety risk to the children in care".
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Licensee ceased practice and understood that infants have to be move to an appropriate crib, and/or mat/cot. Licensees agree to submit proof of LIC 9227 and copy of sleeping log to CCL by 10/22/21.

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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: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-SilvaTELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:
DATE: 10/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/21/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: VASQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 334841642
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/22/2021
Section Cited

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Alterations to Existing Buildings or Grounds. Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: Any change from an area of the family child care home previously identified as "off limits" to an area where care and
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supervision will be provided to children in care. This requirement was not met as evidenced by: The licensee confirmed that she has been utilizing the garage to conduct daycare activities although she was aware that child(ren) should not enter an “off limit” room. "This is a potential risk to the health and safety of children in care".
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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: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-SilvaTELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:
DATE: 10/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/21/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3