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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376616303
Report Date: 10/23/2020
Date Signed: 10/23/2020 02:50:18 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:TORRES GARCIA, GLORIA FAMILY CHILD CAREFACILITY NUMBER:
376616303
ADMINISTRATOR:GLORIA TORRES GARCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 266-7670
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:14CENSUS: 4DATE:
10/23/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:31 PM
MET WITH:Gloria Torres- Garcia TIME COMPLETED:
02:50 PM
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Licensing Program Analyst (LPA), Casey Gulley conducted an unannounced case management tele-visit for the purpose of delivering an amended report originally created on October 21, 2020. Upon arrival, LPA met with licensee, Gloria Torres-Garcia and proceeded to tour the facility.

No deficiencies issue during today's visit. An exit interview was conducted with licensee. LPA discussed and provided licensee with the following: LIC 809 and LIC 9213- Notice of Site Visit. LPA informed licensee LIC 9213 must be posted for 30 days from today's date.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Casey GulleyTELEPHONE: (619) 767-2216
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2020
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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