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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364820224
Report Date: 11/10/2020
Date Signed: 11/10/2020 03:47:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:DELGADO FAMILY CHILD CAREFACILITY NUMBER:
364820224
ADMINISTRATOR:ROSA-VIRGIL DELGADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 732-5387
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY:14CENSUS: 7DATE:
11/10/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Rosa and Sergio Virgil DelgadoTIME COMPLETED:
04:00 PM
NARRATIVE
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Due to COVID-19 Pandemic, on November 10, 2020 at 02:45 p.m., Licensing Program Analyst (LPA) Blanca Ruiz-Silva conducted a Tele-inspection with licensees, Rosa and Sergio Virgil Delgado via FaceTime. The Tele-inspection was conducted to follow up on an incident learned during an investigation of complaint # 09-CC-20200910165524.
Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19, this inspection was conducted via Tele-inspection. Legal guardians of the child involved are aware of the incident.

During the course of the investigation it was learned that there was an unusual incident that took place where a
Legal Guardian of a child confronted the licensee regarding incidents related to the co-licensee, Sergio Virgil Delgado inappropriate interactions with child(ren) at the facility.
The incident occurred on or about the first week of 09/2020; however, it was not reported to the Riverside Child Care Regional Office within 24 hours, neither was a report provided until the initial Tele-inspection was conducted on 09/16/20 by this agency.
In addition, it was also disclosed by Mr. Delgado that he instructs children to enter into off limit areas to gather personal belongings without supervision to assist him to take items from an “off limit room,“ although he/she was aware that child(ren) should not enter the room.

The above actions constitutes a violation for failure to adhere to regulation for failing to report to the above noted incident.
Please see Lic 809D for deficiency cited.

An exit interview was conducted via FaceTime with licensees, Rosa and Sergio Virgil Delgado. Appeals rights were discussed. 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 Licensees to acknowledge receipt of the email. The electronic read receipt of the emailed report acknowledges receipt of this report. Licensees understand 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: 11/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2020
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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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: DELGADO FAMILY CHILD CARE
FACILITY NUMBER: 364820224
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/13/2020
Section Cited

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Reporting Requirements.The licensee shall report to the Department any of the events as specified in Health and Safety Code Section 1597.467(b)(1)(A)
through (b)(1)(C) that occur during the operation of the family childcare home.
This requirement was not met as evidenced by:
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Per licensee's own admission legal guarding contacted her to discussed issues concerning care. However, licensee did not report the incident to CCL with 24 hours of incident happening. "This is a potential risk to the health and safety of children in care".

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Type B
11/13/2020
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 supervision will be provided to children in care.
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This requirement was not met as evidenced by: Mr. Delgado confirmed that he instructs children to enter into off limit areas to gather personal belongings without supervision to assist him to take items from an “off limit room,“ although he/she was aware that child(ren) should not enter the 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: 11/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/10/2020
LIC809 (FAS) - (06/04)
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