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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376619335
Report Date: 03/01/2021
Date Signed: 03/01/2021 10:50:28 AM

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:GONZALEZ, GLORIA FAMILY CHILD CAREFACILITY NUMBER:
376619335
ADMINISTRATOR:GLORIA GONZALEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 660-0664
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91978
CAPACITY:14CENSUS: 8DATE:
03/01/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Gloria GonzalezTIME COMPLETED:
10:45 AM
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On 03/01/21 at 10:00 am, Licensing Program Analysts (LPA), Adrian Castellon and Claudia Amador conducted an unannounced case management inspection. Licensee Gloria Gonzalez initiated the tele-visit. Due to Covid-19 pandemic, the inspection was conducted via FACETIME. Upon visit, LPAs met with licensee Gonzalez and discussed the purpose of the call. Also present in the home at time of visit was the licensee's adult son and 8 day-care children. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Facility operates 7 days a week 23 hours a day..

All cleaning compounds, detergents, medications and other items which could pose a danger to children are stored where they are inaccessible to children and poisons are to be locked away. The fire extinguisher, smoke and carbon monoxide detector meet requirements and are operational. LPA observed required postings. Children’s toys and play equipment are safe and age appropriate. There are no bodies of water observed by LPAs during inspection. Children utilize a fully fenced back patio for outdoor play. LPA informed licensee to ensure children are supervised at all times during outdoor activities. Licensee states that she does not maintain firearms or other weapons in the home. Current pediatric CPR and first aid certifications are valid and due to expire 07/22. LPAs Castellon and Amador discussed COVID-19 best practices with licensee Gonzalez.

Licensee Gonzalez wishes to use a previously off limit space for child care purposes. The room is bedroom #2 and an updated facility sketch has been submitted. LPAs Castellon and Amador inspected the area on this date. The room is free of hazards or debris. Bedroom #2 may now be used for day-care purposes.

No citations issued on this date.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2021
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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