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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844554
Report Date: 08/10/2020
Date Signed: 08/10/2020 06:53:18 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:LOPEZ DE VALLEJO FAMILY CHILD CAREFACILITY NUMBER:
334844554
ADMINISTRATOR:LOPEZ DE VALLEJO VICTORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 698-3873
CITY:MECCASTATE: CAZIP CODE:
92254
CAPACITY:14CENSUS: 4DATE:
08/10/2020
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Victoria Lopez de VallejoTIME COMPLETED:
03:30 PM
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Due to COVID-19 State of Emergency, on August 10, 2020 at 3:00 p.m., Licensing Program Analyst (LPA) Blanca Ruiz-Silva conducted a follow up case management Tele-inspection with licensee, Mrs. Victoria Lopez de Vallejo and Licensee’s son Jorge Vallejo, via FaceTime. Facility was toured and census was taken. LPA observed two adults related to the licensee providing care and supervision for four children in the living room. Both adults are associated to facility’s license and in substantial compliance with assistant’s requirements.

During today's inspection, LPA observed an above ground pool which is located few feet away from the door exiting to the backyard, where children play. However, no children were present in this area during the tele inspection.
It was learned during the physical inspection of the backyard that the pool was installed on August 7, 2020. When the pool was placed the ladder was removed, and although a pool cover was observed and there is also a small fence leading to the pool, all items do not meet licensing regulations as per Title 22.

Licensee agrees to act immediately by draining the water from the pool within 24 hours and make it inaccessible until fencing is constructed. A technical violation was noted on this report.

An exit interview was conducted via FaceTime and a copy of this report was provided to licensee on this date. Due to COVID-19 State of Emergency, LPA provided a copy of this report via email with an electronic “READ RECEIPT”. LPA Ruiz-Silva requested the licensee to acknowledge receipt of the email. The electronic read receipt of the emailed report acknowledges receipt of this report. Licensee understands that a copy of this report must be made available to the public, upon their request, for the next three years.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-SilvaTELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2020
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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