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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376619543
Report Date: 04/25/2022
Date Signed: 04/25/2022 06:36:02 PM


Document Has Been Signed on 04/25/2022 06:36 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:NEVAREZ, LOURDES & EDUARDO FAMILY CHILD CAREFACILITY NUMBER:
376619543
ADMINISTRATOR:LOURDES & EDUARDO N.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 562-0509
CITY:SANTEESTATE: CAZIP CODE:
92071
CAPACITY:14CENSUS: 1DATE:
04/25/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
05:20 PM
MET WITH:Licensee, Eduardo Nevarez TIME COMPLETED:
06:20 PM
NARRATIVE
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Regional Manager (RM) Kimberly Hall, IB Investigators Annette Renquist and Ernestina Belluco, Licensing Program Manager (LPM), Monica Cuddy and Licensing Program Analyst (LPA) Jennifer Lott conducted an unannounced visit at the above referenced facility, on today's date, to deliver a Temporary Suspension Order (TSO) to Licensees Lourdes & Eudardo Nevarez.

The Temporary Suspension Order (TSO) and all related documents were provided to the Licensee, which include: Temporary Suspension Order, Statement to Respondents, Government Code Sections, Accusation, Notice of Exclusion, Request for Discovery and Notice of Defense (2 copies).

The Regional Manager explained the contents of the packet to the Licensee. The Licensee was advised that all care and supervision of children must cease by 6:00 pm on 04/25/22. The LPA posted the TSO notice on the entrances to the facility and the Licensee was informed that to remove or conceal this notice will result in criminal action and/or a $500.00 civil penalty. Licensing representatives use the Licensee's Facility Roster to provide letters to parents to notify them of the closure and provide them with the Resource and Referral number to assist them in locating other child care.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2022
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 04/25/2022 06:36 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: NEVAREZ, LOURDES & EDUARDO FAMILY CHILD CARE
FACILITY NUMBER: 376619543

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/25/2022
Section Cited

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Denial, Suspension or Revocation of a License, Regulation or Special Permits; Grounds...(c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state. This requirement is not met as evidenced by:
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On or about 3/10/22 and 3/30/22, licensee refused to allow a fire inspection at the facility. On 3/30/22 & 04/18/22, licensee yelled at Fire Inspector and LPA during a visit at the facility and refused to allow the LPA to leave. This poses an immediate health & safety risk to children in care.
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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: Tashima DanielTELEPHONE: (619) 629-8413
LICENSING EVALUATOR NAME: Jennifer LottTELEPHONE: 619-782-8300
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2022
LIC809 (FAS) - (06/04)
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