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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364820224
Report Date: 05/10/2021
Date Signed: 05/10/2021 12:52:16 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: 6DATE:
05/10/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Rosa and Virgil Delgado TIME COMPLETED:
12:15 PM
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Due to COVID-19 Pandemic, on May 10, 2021 at 11:05 a.m., Licensing Program Analyst (LPAs) Blanca Ruiz-Silva, Natasha King and Licensing Program Manager, Aaron Ross met with licensees, Rosa and Sergio Virgil Delgado via Microsoft Teams for an Informal teleconference regarding concerns of Personal Rights violation, Reporting Requirements and Alterations to Existing Buildings or Grounds. Teleconference was conducted in English and Spanish.

Licensees were informed that the main goal of this teleconference is to assist them and to ensure that the facility is operating in substantial compliance of California code of Regulations Title 22, Division 12, Chapter 1. The difference between an Informal Meeting and a Non-Compliance Meeting was explained to the licensees. Facility’s compliance history was reviewed and questions were addressed during the teleconference.



Licensees were advised to visit the Department's website www.ccld.ca.gov on a regular basis for licensing updates and self-assessment tools. Licensees agreed to enroll in courses to obtain additional training regarding Personal Rights and to reinforce their understanding of the social emotional development of children and their needs while in care. The training must be seek outside of the Department of Social Services, with CCRC/Resource and Referral (1800- 822- 5777), proof of enrollment must be submitted to the Department by 05/28/2021.

An exit interview was conducted via Microsoft Teams with licensees, Rosa and Sergio Virgil Delgado. 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: 05/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2021
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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