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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415673
Report Date: 06/07/2023
Date Signed: 06/07/2023 10:26:35 AM


Document Has Been Signed on 06/07/2023 10:26 AM - 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:SANTOYO-MORALES, MARIA DE JESUSFACILITY NUMBER:
434415673
ADMINISTRATOR:MARIA DE JESUS SANTOYO-MORFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 493-6539
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY:14CENSUS: 12DATE:
06/07/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Maria De Jesus Santoyo-MoralesTIME COMPLETED:
10:30 AM
NARRATIVE
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On 06/07/2023 at 8:30 AM, Licensing Program Analyst (LPA) Susy Cervantes, met with assistant Barbara Santoyo, for a case management visit. Present was assistant and licensee's spouse with 10 children in care: six infants and four preschool. Licensee arrived shortly after and two additional preschool children arrived during visit.

LPA informed Licensee, Maria De Jesus Santoya-Morales, and assistant that there are too many infants in care, LPA reminded staff that there can only be four infants in care when there are no school age children. LPA reviewed assistants CPR and first aid as well as their mandated reporter training, assistant's CPR and first aid has expired (11/2022). LPA was informed assistant has a class scheduled. LPA asked if spouse has pediatric CPR and first aid, LPA was informed that they did, but was not able to verify.

Type A deficiencies were cited during today's visit. LPA Susy Cervantes informed licensee, Maria de Jesus Santoyo-Morales, that this report dated 06/07/2023 documents two Type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.
Also, LPA Cervantes informed the licensee, Maria De Jesus Santoyo-Morales, to provide a copy of this licensing report dated 06/07/2023 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the licensee, Maria de Jesus Santoyo-Morales. Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date will result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Susy CervantesTELEPHONE: (408) 598-9403
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2023
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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Document Has Been Signed on 06/09/2023 09:04 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 06/08/2023 07:49 AM

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: SANTOYO-MORALES, MARIA DE JESUS
FACILITY NUMBER: 434415673

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/08/2023
Section Cited
CCR
102416.5(d)(1)

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102416.5(d)(1) Staffing Ratio and Capacity
For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: Twelve children, no more than four of whom may be infants; or
This requirement was not met as evidenced by:
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This is an ammended report:
Licensee will plan with parents which infants will be attending what days. Licensee will submit a statement with their understanding of what the regulation is and what they will do to prevent being over ratio to the San Jose Regional Office (SJRO) by close of business on June 08, 2023.
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Based on observation, LPA observed 10 children in care: six infants and four preschool age. This poses an immediate risk to the health, safety, and personal rights to the children in care.
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Type A
06/08/2023
Section Cited
HSC1596.866(a)(3)(b)

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Day care center directors and licensees of family day care homes shall ensure that at least one staff member who has a current course completion card in pediatric first aid and pediatric CPR issued by the American Red Cross, the American Heart Association, or by a training program that has been approved by the Emergency Medical Services Authority pursuant to this section and Section 1797.191 shall be onsite at all times when children are present at the facility, and shall be present with the children when children are offsite from the facility for facility activities.
This requirement was not met as evidenced by:
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LPA was informed licensee's assistant has class scheduled. Licensee will review regulation and submit a letter of understanding and what licensee will do to prevent not having an adult with current pediatric CPR and First Aid with the children at all times.
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Based on record review, LPA observed assistant, Barbara Santoyo has CPR and first aid that expired on 11/2022. This poses an immediate risk to the health, safety, and personal rights to the 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: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Susy CervantesTELEPHONE: (408) 598-9403
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2023
LIC809 (FAS) - (06/04)
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