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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376616303
Report Date: 10/17/2022
Date Signed: 10/17/2022 02:10:50 PM


Document Has Been Signed on 10/17/2022 02:10 PM - 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, 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: 3DATE:
10/17/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Gloria Torres GarciaTIME COMPLETED:
02:15 PM
NARRATIVE
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On October 17, 2022 at 10:10AM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the licensee, Gloria Garcia Torres. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee. Three (3) children and three (3) staff were present in the facility during this inspection and included the licensee and helpers Miriam Torres Garcia and Patricia Sanchez Moreno. This facility is a one story, four bedroom, two and a half bathroom house. Licensee accompanied LPA inside and out of the facility during this inspection. The following areas used for child care are: the dining room, the living room, the fourth bedroom (used as a day care room) and the day care bathroom. Off limits areas are the kitchen, the remaining three home bedrooms and the third bathroom, the second bathroom that is in the day care room and the home garage. The kitchen is made off limits with an installed safety gate. The remaining three bedrooms are made off limits with a locking entry door that leads to the part of the house that contains them while the second bathroom is made off limits with a locking door handle. The entrance door to the off limits garage is located in one of the off limits bedrooms.

The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. All hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. The home has a fenced backyard available for outdoor activities. The yard is sectioned by picket fencing into three separate areas with the first yard space on the right side of the yard dedicated as off limits as it contains personal items of the provider. It is made off limits with a padlocked gate. No bodies of water observed on the premises during the inspection. Licensee stated there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee’s First Aid and CPR certifications expire on December of 2022 as do her assistant's, Miriam Garcia Torres. Licensee has required immunizations. Licensee and her assistants completed Mandated Reporter Training on 03/02/22. Facility roster is maintained and was reviewed. Licensee stated that she has conducted fire and disaster drills as required but has just not been documenting them.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2022
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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Document Has Been Signed on 10/17/2022 02:10 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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 CARE

FACILITY NUMBER: 376616303

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/17/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)(B)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall check and document the following: Signs of distress which includes but is not limited to flushed skin color, increase in body temperature and restlessness.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst interview and facility record review, the licensee did not comply with the section cited above as she has not been maintaining a safe sleep log for the infants she has in care which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 10/31/2022
Plan of Correction
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Licensee states she will begin maintaining a safe sleep log starting tomorrow and continuing forward and then will submit a copy of the sleep logs for both infants for the period of 10/18/22-10/30/22 to analyst on 10/31/22 to complete the correction.
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on analyst interview and facility record review, the licensee did not comply with the section cited above as she did not obtain an LIC 9227 for the five month old infant she has in care which poses/posed a potential health, safety or personal rights risk to children in care.
POC Due Date: 10/24/2022
Plan of Correction
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Analyst provided licensee with a copy of the a blank LIC 9227 Individual Infant Sleeping Plan for licensee to give to infant's parent to complete. Licensee states she will maintain the form in the child's file and then submit a copy of it to analyst by 10/24/22 to complete the correction.

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: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2022
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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: TORRES GARCIA, GLORIA FAMILY CHILD CARE
FACILITY NUMBER: 376616303
VISIT DATE: 10/17/2022
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There is one crib or play yard for each infant who is unable to climb out of the crib or play yard. Cribs or play yards are free from all loose articles and objects. The provider physically checks on sleeping infants every 15 minutes. An Individual Infant Sleeping Plan [LIC 9227 (3/20)] is not maintained for each infant up to 12 months of age. The provider places infants up to 12 months of age on their backs for sleeping.

LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

Incidental Medical services (IMS) policy was discussed. 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. 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.

Two type B deficiencies California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.

An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
LIC809 (FAS) - (06/04)
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