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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001751
Report Date: 11/14/2019
Date Signed: 11/14/2019 01:44:03 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:TORRES, ZONIA L.FACILITY NUMBER:
384001751
ADMINISTRATOR:TORRES, ZONIA L.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 239-1162
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 7DATE:
11/14/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Zonia L. TorresTIME COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analyst, LPA Yee conducted a case management inspection today. There are 7 children(1 infant, 6 preschools) present today with the licensee. Helper is out sick today. Based on the inspection today, the facility is over her capacity.
LPA also discussed with the licensee that she needs to keep comfortable heating and ventilation at the facility. Today LPA observed the room temperature is 64 degrees Fahrenheit. The licensee said her heater is broken. However, she turned on the portable heater during the inspection.

The capacity worksheet was provided today.

See the next page for citations.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: TORRES, ZONIA L.
FACILITY NUMBER: 384001751
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/15/2019
Section Cited

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1024.5(b)(1): Staffing Ratio and Capacity. The capacity specified on the license shall be the maximum number of children for whom care can be provided.

Based on records reviewed and physical inspection this licensee is over her capacity today.
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This requirement is not met as evidenced by records review and LPA observation.

This poses an immediate safety risk to children in care.
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With 2 staff for a large license:
Infant Preschool school-age
4 8 0
3 9 2
2 10 2
1 11 2
0 12 2

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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: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 11/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/14/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: TORRES, ZONIA L.
FACILITY NUMBER: 384001751
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/17/2019
Section Cited

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102417(b):Operation of a Family Child Care Home: The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.

Based on the physical inspection today, the home temperature is 64 degrees F. LPA also mentioned this to the licensee on previous inspection 11/6/2019.
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This requirement is not met as evidenced by today's physical inspection. The homes does not have proper heating and ventilation today.

This poses a potential health 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: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 11/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/14/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3