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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136610563
Report Date: 07/18/2023
Date Signed: 07/18/2023 04:22:44 PM

Document Has Been Signed on 07/18/2023 04:22 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:CANALES, YULISA FAMILY CHILD CAREFACILITY NUMBER:
136610563
ADMINISTRATOR:YULISSA CANALESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 675-0530
CITY:CALEXICOSTATE: CAZIP CODE:
92231
CAPACITY: 14TOTAL ENROLLED CHILDREN: 35CENSUS: 10DATE:
07/18/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Yulisa CanalesTIME COMPLETED:
02:30 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 July 18, 2023 at 1:35 PM Licensing Program Analyst (LPA), Gloria Gonzalez conducted an unannounced inspection to open a complaint. Upon arrival, LPA met with Licensee, Yulisa Canales and disclosed purpose of the inspection. During the inspection there was ten (10) daycare children and two (2) staff members present.

At 1:40, LPA observed an Adult #1 that was not criminal record cleared and was present in the facility at the time of this inspection. Adult #1, staff members, Licensee's minor sibling, and Licensee stated today was her fist day at this facility.

LPA, Gloria Gonzalez informed Licensee, Yulisa Canales that this report dated 7/18/23 documents a Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Gloria Gonzalez informed the Licensee Yulisa Canales to provide a copy of this licensing report dated 7/18/23 that documents any Type A citation 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. Civil Penalty was assessed in the amount of $100, see LIC421.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

A copy of this report, notice of site visit (LIC 9213), and appeal rights (LIC 9058) was provided to Licensee, Yulisa Canales. LPA Gloria Gonzalez interpreted and explained inspection report in Spanish to Licensee, and Licensee stated she understood.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2023
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
Document Has Been Signed on 07/18/2023 04:22 PM - It Cannot Be Edited


Created By: Gloria Gonzalez On 07/18/2023 at 03:35 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CANALES, YULISA FAMILY CHILD CARE
FACILITY NUMBER: 136610563

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/19/2023
Section Cited
CCR
102370(d)(1)

1
2
3
4
5
6
7
Criminal Record Clearance: CCR 102370(d)(1) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working...in a licensed facility: (1) Obtain a California clearance...as required by the Department.
This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee states Adult #1 was at this facility for one day only and will not be returning. Licensee states she will submit a written statement by her and Adult #1 that she was only here for one day and that she understands this regulation by 7/19/23.
8
9
10
11
12
13
14
Based on observation, record review, and interviews, the Licensee did not ensure that Adult #1 had obtained a criminal record clearance prior to working in the facility which poses an immediate risk to the safety of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Tulam Vu
LICENSING EVALUATOR NAME:Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2023


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