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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843331
Report Date: 01/31/2024
Date Signed: 01/31/2024 09:41:54 AM

Document Has Been Signed on 01/31/2024 09:41 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
334843331
ADMINISTRATOR:ROSALVA GARCIA-CARRANZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 289-1173
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
01/31/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:05 AM
MET WITH:Rosalva Garcia-CarranzaTIME COMPLETED:
09:00 AM
NARRATIVE
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On Wednesday, January 31, 2024, at 08:05 AM Licensing Program Analysts (LPAs) Amber Shaw and Jeanette Sanchez arrived at the facility for an unrelated complaint investigation and met with licensee Rosalva Garcia-Carranza. LPAs disclosed the purpose of the visit and was granted entry to the facility by the licensee. Nine children were present during this inspection. Licensee assisted LPAs inside and outside the facility during this inspection.

At 08:07 AM, LPAs observed nine children present in the day-care area with lone adult Rosalva Garcia-Carranza (licensee). LPAs then asked for a roster to identify ages of the children. The facility is licensed for 14 children, however, whenever there is no assistant present, the ratio reverts back to a small family child care ratio. Licensee stated her assistant was out of the facility to drop off a school age child. A Type A citation for lack of supervision will be issued, see LIC 809-D.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months.

The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.

An exit interview was conducted with Licensee and a copy of this report was provided. Appeal Right were discussed and provided.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Amber Shaw
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2024
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 01/31/2024 09:41 AM - It Cannot Be Edited


Created By: Amber Shaw On 01/31/2024 at 08:35 AM
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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 334843331

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/01/2024
Section Cited
CCR
102416.5(d)(2)

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102416.5 Staffing Ratio and Capacity d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time...(2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met.
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Licensees will submit plan to LPA to avoid operating out of ratio. Plan will include such things as: children schedules, what will be done if only one licensee is present, as well as the understanding of ratio. Due by 2/1/24
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This requirement was not met:
Based on record review and observation, facility was operating with 9 children, with only one adult. This poses an immediate risk to the health, safety and personal rights of children.
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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:Carlos Martinez
LICENSING EVALUATOR NAME:Amber Shaw
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2024


LIC809 (FAS) - (06/04)
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