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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625408
Report Date: 04/03/2023
Date Signed: 04/03/2023 03:18:24 PM


Document Has Been Signed on 04/03/2023 03:18 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:RINCON, ADELAIDA FAMILY CHILD CAREFACILITY NUMBER:
376625408
ADMINISTRATOR:ADELAIDA RINCONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 475-6506
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:14CENSUS: 4DATE:
04/03/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Adelaida RinconTIME COMPLETED:
03:00 PM
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On 4/3/23 at 2:0pm an office meeting was conducted with Licensee Adelaida Rincon and her daughter Priscilla Rincon to discuss the deficiency cited on 12/5/22. Present at the meeting was Licensing Program Manager (LPM) Cynthia Gray and Licensing Program Analyst (LPA), Adrian Castellon. LPA Castellon translated in Spanish during the meeting. On 12/5/22, during a complaint inspection, the following deficiency was cited: Type A 102417(a) Operation of a Family Child Care Home. The licensee shall be present in the home and shall ensure that children in care are supervised at all times.

It is noted that the licensee corrected the deficiency in a timely manner. Licensee watched CCLD training video titled: Supervising Children in Family Child Care at ccld.childcarevideos.org/family-child-care-providers/supervising-children-in-family-child-care. Licensee provided the Department with a written summary of her observations.

LPM discussed with Licensee Representatives the seriousness of the above deficiency. Licensee representatives were provided with the following resources: A Technical Support Program (TSP) brochure, for questions related to the TSP, email: childcaretechnicalsupport@dss.ca.gov, Best Practices – Lack of Supervision, ccld.childcarevideos.org, Advocate information was provided: (714)-703-2800 or childcareadvocatesprogram@dss.ca.gov, sdincidentreports@dss.ca.gov and the Duty Line (619)-767-2248.

Licensee Representatives were informed that repeated violations or failure to comply with licensing laws and regulations may result in administrative action taken by the Department. Licensee Representative Adelaida Rincon stated they understood and will ensure the facility complies with all regulations and laws governing Child Care Homes. A copy of this report was provided to the licensee.

SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2023
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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