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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376615622
Report Date: 12/09/2021
Date Signed: 12/09/2021 01:49:43 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CORONADO, SUSAN FAMILY CHILD CAREFACILITY NUMBER:
376615622
ADMINISTRATOR:SUSAN CORONADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 941-7366
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:14CENSUS: 0DATE:
12/09/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Susan Coronado TIME COMPLETED:
02:12 PM
NARRATIVE
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On December 9, 2021, Licensing Program Analysts (LPAs) Jeanette Sanchez and Ana Noble, conducted a case management inspection to issue a citation in regard to an uncleared adult being present, interacting and/or providing care and supervision to children enrolled in the daycare. During time of inspection, there were a total of 0 children in care.

In July 2021, interviews were conducted by Special Investigator Annette Renquist with five former/current daycare children and three daycare parents. The five children and three daycare parents reported that they had observed licensee’s boyfriend/husband, Francisco “Hugo” Moreno-Serrano being present in the home, interacting and/or providing care to daycare children. Investigator Renquist also confirmed “Hugo’s” identity per a copy of “Hugo’s” current photo shown to children. Children stated “Hugo” was living in the home, providing care to them when licensee was not home, or providing snacks to them. Parents confirmed “Hugo” answering the door and bringing out their children when they would pick children up from the daycare. A record review of residents and staff fingerprinted and associated to the facility revealed Francisco “Hugo” Moreno-Serrano did not have a fingerprint clearance.

Based on confidential interviews and record review, the facility is cited for violation of the California Code of Regulations, Title 22, Division 12, Section 102370: Criminal Record Clearance. Francisco “Hugo” Moreno-Serrano was present in the facility interacting and/or providing care and supervision to daycare children without a fingerprint clearance which poses an immediate risk to the health and safety to children in care. Civil penalties being assessed.
A copy of this report was reviewed and provided to licensee Susan Coronado along with the appeal rights, Notice of Site Visit, and Civil Penalty Assessment (LIC 421BG) form. LPAs observed the Notice of Site Visit form was posted by licensee prior to departure.
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021
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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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: CORONADO, SUSAN FAMILY CHILD CARE
FACILITY NUMBER: 376615622
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/10/2021
Section Cited

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Criminal Record Clearance: (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility, (1) Obtain a California clearance or a criminal record exemption as required by the Department.
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This requirement was not met as evidenced by: Based on interviews conducted and record review, Francisco “Hugo” Moreno-Serrano was present in the facility interacting and/or providing care and supervision to daycare children without a fingerprint clearance which poses an immediate risk to the health and safety to children in care.
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A civil penalty has been assessed in the amount of $500.00, see LIC421BG.

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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: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:
DATE: 12/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/09/2021
LIC809 (FAS) - (06/04)
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