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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617458
Report Date: 09/01/2022
Date Signed: 09/01/2022 05:52:47 PM


Document Has Been Signed on 09/01/2022 05:52 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-HERNANDEZ, IRMA FAMILY CHILD CAREFACILITY NUMBER:
376617458
ADMINISTRATOR:IRMA TORRES-HERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 583-2024
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:14CENSUS: 4DATE:
09/01/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
05:03 PM
MET WITH:Irma Torres-HernandezTIME COMPLETED:
05:35 PM
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On 9/1/22, Licensing Program Analyst (LPA), Tyra Block, conducted a visit for the purpose of following up on the Plan of Correction from the complaint visit conducted on 8/23/22. LPA met with licensee, Irma Torres. No day care children were present, only children that reside in the home and her other grandchildren. LPA also spoke to licensee's daughter, Carolina, by phone, who assisted with translation. She stated she has not provided child care and has informed the alternative payment program.

A Notice of Site Visit was provided and licensee was advised it must be posted for 30 days.

No deficiencies were cited during this visit.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Tyra BlockTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:
DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2022
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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