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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300080
Report Date: 10/26/2022
Date Signed: 10/26/2022 10:20:52 AM


Document Has Been Signed on 10/26/2022 10:20 AM - It Cannot Be Edited

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:ORTIZ FAMILY CHILD CAREFACILITY NUMBER:
336300080
ADMINISTRATOR:ORTIZ,SONIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 803-3655
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:14CENSUS: 4DATE:
10/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
07:42 AM
MET WITH:Sonia Ortiz, LicenseeTIME COMPLETED:
10:30 AM
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On 10/26/2022 at 7:42 AM Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct an annual inspection. LPA was greeted by Licensee Sonia Ortiz granted entry to tour the facility, inside and out. LPA reviewed records and observed and/or discussed the following: Present were the licensee and 3 minor residents. The licensee is requesting to change hours of operation. A case management inspection will be required at a later date, post construction and fence installation around the in-ground pool. Estimated completion of construction is December 2022.

Normal days and hours of operation are Monday- Friday, 7:30 AM to 5:00 PM
OFF-LIMIT AREAS INCLUDE: 1st Floor Laundry Room, Garage and Entire 2nd Floor.

The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains. Deficiencies not cited this visit.
· The facility is operating within the licensed capacity and appropriate ratios. A census of 4 children were present and in care on 10/26/2022.
· The Licensee is present in the home and has ensured that children in care are supervised.
· When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children.
· A working telephone is present by cell phone on 10/26/2022.
· Appropriate fire extinguisher in the green and tagged 10/28/2020, smoke detector and carbon monoxide detector are present and were tested by the Licensee during 10/26/2022 inspection.
· All hazardous items are inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children on 10/26/2022.
· Storage of poisons is inaccessible to children and locked in the garage on 10/26/2022.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: ORTIZ FAMILY CHILD CARE
FACILITY NUMBER: 336300080
VISIT DATE: 10/26/2022
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· There is a properly barricaded fireplace on 10/26/2022.
· Guns or weapons are present as stated by the Licensee Sonia Ortiz. Licensee understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 regulations, which was verified by LPA S.Brewer on 10/26/2022 to be in compliance.
· Stairs are barricaded at this time 10/26/2022.
· Home is clean and orderly, with heating and ventilation for safety and comfort
· Safe and appropriate toys and equipment are present for both indoor and outdoor activities.
· Outdoor play areas are fenced and/ or appropriate supervision is present
· Verification of control of property on file 09/03/2019 Grant Deed.
· Pediatric CPR and First Aid Card expire on 06/12/2023
· Health & Safety Certificate - completed on 07/26/2016.
· Mandated reporter General: NOT ON FILE; AB1207 Child Care Expired: 09/2021, not renewed
· Fire clearance: 12/30/2019
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 06/02/2022 with 13 children present and lasted 8 minutes, evacuated across the street.
· There are no bodies of water on 10/26/2022, however the licensee has started construction on in the backyard to install an in-ground pool. A temporary fence has been installed to separate the outdoor play activity and make the construction site inaccessible to daycare children. Licensee understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Children’s files are complete on 10/26/2022.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.

SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
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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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: ORTIZ FAMILY CHILD CARE
FACILITY NUMBER: 336300080
VISIT DATE: 10/26/2022
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The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensee Sonia Ortiz, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA Susan Brewer, discussed the safe sleep regulations with licensee Sonia Ortiz and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. Licensee stated they are not enrolling infants at this time.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/ection-process.

No citations issued on 10/26/2022.

No civil penalties issued on 10/26/2022.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Sonia Ortiz.

SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC809 (FAS) - (06/04)
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