<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376624415
Report Date: 06/15/2022
Date Signed: 06/15/2022 05:09:09 PM


Document Has Been Signed on 06/15/2022 05:09 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:QUEZADA, EDA FAMILY CHILD CAREFACILITY NUMBER:
376624415
ADMINISTRATOR:EDA QUEZADAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 993-5724
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY:14CENSUS: DATE:
06/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH:Eda QuezadaTIME COMPLETED:
05:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 06/15/22 at 4:10PM, LPA Luigi Gargaro conducted a follow up case management visit to review the status of two uncleared adults who were found to be living in the home during a previous inspection visit.

During today's visit, analyst found that adult Socorro Chavez had refingerprinted with Livescan and is now cleared and associated to be in the home.

He also attempted to confirm that second adult, Elio De La Torre, who is awaiting final clearance approval, is currently not living in the home. Analyst did not find Mr. De La Torre in the residence during today's visit and licensee allowed analyst to inspect his bedroom to ensure his removal. Licensee stated that Mr. De La Torre was living with his friend but that their arrangements have changed and as of this Monday he is no longer able to continue that. Licensee states that he is looking for an apartment but currently is residing in his car until he can move to a new residence.

Licensee understands that Mr. De La Torre is not allowed to reside in the home or have any type of prominent presence in the day care until he has received a full criminal record clearance. Matter will continue to be reviewed in office.
SUPERVISOR'S NAME: Jason GarayTELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Luigi GargaroTELEPHONE: (619) 767-2229
LICENSING EVALUATOR SIGNATURE:
DATE: 06/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/15/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1