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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376623244
Report Date: 06/11/2019
Date Signed: 06/11/2019 02:15:18 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:CASTRO, MARIA DEL CARMEN FAMILY CHILD CAREFACILITY NUMBER:
376623244
ADMINISTRATOR:MARIA CASTROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 271-8293
CITY:SAN YSIDROSTATE: CAZIP CODE:
92173
CAPACITY:14CENSUS: 1DATE:
06/11/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Maria CastroTIME COMPLETED:
02:25 PM
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Licensing Program Analyst (LPA) Yolanda Baez, made an unannounced visit for the purpose of a plan of correction inspection. LPA met with Licensee, Maria Castro. During this visit there was 1 child in care (1 school age child).

The purpose of today's inspection was to clear the deficiencies that were issued on 05/15/2019, which are the following:

  • Section CCR 102421 for Child's Records. Requirement was not met as evidenced by children's file review because Licensee did not have files for 3 of the 5 children present during the inspection conducted on 05/15/19.
  • Section CCR 102417(g)(8) for Roster. Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. Requirement was not met as evidenced by facility record review because Licensee did not have an up to date roster.

Both deficiencies for 102421 Child's Records and 102417(g)(8) for the roster have been cleared effective today, 06/11/19.

PIN 19-05-CCP was provided to Licensee in Spanish. There were not any further deficiencies. Notice of Site Visit is to be posted for 30 days, LPA observed Licensee post the Notice of Site Visit.

SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Yolanda BaezTELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2019
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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