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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434405209
Report Date: 12/04/2019
Date Signed: 12/04/2019 04:00:12 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:TORRENS, DEBORAHFACILITY NUMBER:
434405209
ADMINISTRATOR:TORRENS, DEBORAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 281-3070
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY:14CENSUS: 0DATE:
12/04/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:36 PM
MET WITH:Torrens, DeborahTIME COMPLETED:
04:11 PM
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Licensing Program Analyst (LPA) Almaraz conducted an annual random inspection. LPA Almaraz met with Licensee Torrens, Deborah, and explained the nature of today's inspection. Present during the inspection was Licensee Torrens. There were no children present. The hours of operation of the day-care are 9AM to 12PM, Monday, Wednesday and Friday. 9 AM to 3PM, Tuesdays and Thursdays . There are three adults residing in the home; Licensee Torrens, spouse Torrens, Matthew, son Torrens, Tyler and two minor children.
Licensee states daily parent participation ensures ratio requirements. Licensee requires parents that participate to be fingerprinted.
Physical Plant:
LPA Almaraz inspected the indoor and outdoor areas of the home today. Off limit areas in the home are as follows; Three bedrooms, laundry room and garage. Off limit areas outside the home are as follows: None. The front yard is safety complaint and backyard is fully fenced. Licensee states that there are no weapons in the home. LPA Almaraz did not observe any bodies of water inside or outside the home. Medication, cleaning products and similar items are stored inaccessible to children. Poisons are locked in garage. Licensee has two pets. LPA Almaraz observed a working smoke/carbon monoxide detector, 3A40BC fire extinguisher. LPA Almaraz did not observe any heaters in the home. LPA Almaraz observed a screened fireplace.
Facility Records:
LPA Almaraz reviewed two children's files and observed current and updated immunization records and the Family Child Care Home Notification of Parents' Rights forms (LIC 995A) in each file. LPA Almaraz observed that the Licensee has record of MMR & Tdap vaccinations as well as the flu vaccine. Licensee Torrens keeps record of required immunization's for parents that participate in parental program. LPA Almaraz observed a current roster, a current fire disaster/earthquake drills last log 09/09/2019 and 09/10/2019. Licensee has day care insurance. Licensee completed Mandated Reporter Training on 02/11/2018, licensee understands training is to be completed every two years. Licensee has CPR and First Aid, which has an expiration date of 02/20/2020. Supervision of the children was discussed; *****Page 1/2 Report Continued on Page 2*****
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Araceli AlmarazTELEPHONE: (408) 334-8551
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: TORRENS, DEBORAH
FACILITY NUMBER: 434405209
VISIT DATE: 12/04/2019
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 Licensee Torrens understands the following: a cleared adult must be present in the home during day care hours, the children must be supervised at all times, the capacity options and ratio requirements. Licensee understands not to leave children in the car unattended. The Licensee states that there is transporting of children currently. Licensee Torrens states licensee has a valid California Drivers License with no restrictions that would affect transporting children.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

A review of staff records on 12/04/2019 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Website for provider resources: http://www.cdss.ca.gov/inforesources/Community-Care/Self-Assessment-Guides-and-Key-Indicator-Tools/Quarterly-Updates



There are no deficiencies during today’s inspection.

LPA Almaraz conducted an exit interview with the Licensee Torrens and advised the licensee of the pending Department regulation update re: safe sleep for infant children. LPA Almaraz referred the Licensee to the Department website: www.ccld.ca.gov for additional information. LPA discussed the requirements of AB633 to Licensee.

NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED FOR 30 DAYS.

*****Page 2/2, Final Page of Report Continued From Page 1*****

SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Araceli AlmarazTELEPHONE: (408) 334-8551
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2