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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845364
Report Date: 03/04/2024
Date Signed: 03/04/2024 01:19:11 PM

Document Has Been Signed on 03/04/2024 01:19 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:DE LA PAZ FAMILY CHILD CAREFACILITY NUMBER:
334845364
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
03/04/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:58 AM
MET WITH:Licensee Sally De La PazTIME COMPLETED:
01:30 PM
NARRATIVE
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On the date and time listed, Licensing Program Analysts (LPAs) Perla Ordones and Samuel Lopez arrived at the facility for the purposes of conducting a case management inspection regarding the outside patios which was disclosed to the department to have been installed without permit(s). Licensee submitted an application for an increase in capacity which was also addressed during the visit. LPAs toured the facility, inside and out, records were reviewed, and the following was observed and/or discussed:

Normal days and hours of operation are: Monday – Friday; 06:00AM – 06:00PM.

OFF-LIMIT AREAS INCLUDE: Entire second floor, garage, side patios, and the backyard.

During this visit, LPAs inspected the right hand patio area where Licensee indicated children play outside. In the outside patio, which is located to the right of the home, LPAs observed several plastic play structures, several ridable toy cars, and other children’s toys outside. Also, prior to entering the facility, children could be heard playing outside, underneath the patio. LPAs asked Licensee if they had the required permits on file for the patio structure. Licensee stated that they did not have the required permits. Due to Licensee not having the required permits necessary for the patio structure, the on-limits patio area poses an immediate risk to children in care. Licensee agreed to make the patios off-limits until the required permits were obtained. Licensee submitted a new facility sketch to LPAs.

· The facility is operating within the licensed capacity and appropriate ratios.
· Appropriate fire extinguisher, smoke detector and carbon monoxide detector are present and were tested by the Licensee during this inspection. Fire extinguisher, smoke detector and carbon monoxide detector are in working order.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2024
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 03/04/2024 01:19 PM - It Cannot Be Edited


Created By: Perla Ordones On 03/04/2024 at 12:14 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
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: DE LA PAZ FAMILY CHILD CARE
FACILITY NUMBER: 334845364

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/05/2024
Section Cited
CCR
102370(d)(1)

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(d) All individuals subject to a criminal record review... shall prior to working, residing, or volunteering in a licensed facility:
(1) Obtain a California clearance or a criminal record exemption as required by the Department
This requirement is not met as evidenced by:
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Licensee agrees to have their adult child obtain a livescan and agrees to submit proof of the livescan to Community Care Licensing (CCL) by the end of the business day on the Plan of Correction (POC) due date of 03/05/2024.
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Based on observation and interview, the licensee did not comply with the section cited above as Licensee confirmed their adult child resides in the home but LPAs observed that they did not poses criminal record clearance which poses an immediate health, safety or personal rights risk to persons in care.
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Type A
03/05/2024
Section Cited
CCR102417(g)

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(g) The home shall be free from defects or conditions which might endanger a child...

This requirement is not met as evidenced by:
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Licensee agrees to make the outside patio areas off-limits and agrees to temporarily suspend outside play in the patioed areas until the necessary permits have been aquired. Licensee agrees to list alternate outside play area if outside play will be utilized.
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Based on observation and interview, the licensee did not comply with the section cited above as children were playing outside underneath the outside patio which does not have the necessary permits which poses an immediate health, safety or personal rights risk to persons in care.
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Licenseee agrees to submit proof of the Plan of Correction (POC) to Community Care Licensing (CCL) by the end of the business day on the POC due date of 03/05/2024.
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:Kimberly Williams
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 03/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/04/2024


LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: DE LA PAZ FAMILY CHILD CARE
FACILITY NUMBER: 334845364
VISIT DATE: 03/04/2024
NARRATIVE
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· All hazardous items are inaccessible.
· Storage of poisons/toxins are inaccessible to children and locked.
· Weapons are not present. Licensee understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 Regulations.
· The Licensee provided proof of control of property.
· Facility Sketch and Emergency Disaster Plan are posted. Licensee has decided to make a previously off-limits area, the den, on-limits during this inspection.
· An in-ground pool is present that has a five-foot-tall mesh type fence that surrounds the in-ground pool. Additionally, fencing contains a gate with a self-latching and self-closing door, which swings away from the pool.
· Documentation of fire and disaster drills on file – Last drill conducted on 01/10/2024.
· Clean, safe and age-appropriate toys.
· There are no toxic plants observed at this time.

Resident and/or staff records reviewed on 03/04/2024 indicate that all adults who require caregiver background checks have NOT received all required clearances or exemptions as Licensee stated their adult child resides in the home but LPAs observed that there was no criminal record clearance for the individual. Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Before licensure, the following needs to be corrected/completed:
- Permits must be obtained if licensee would like to use the patio covered area for outdoor play
- Adult child must obtain criminal record clearance
- Plan of correction for citations issued
Once all corrections have been verified, the application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification/assistant present. Applicant advised that all corrections are due within 30 days or the application may be withdrawn.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2024
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: DE LA PAZ FAMILY CHILD CARE
FACILITY NUMBER: 334845364
VISIT DATE: 03/04/2024
NARRATIVE
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 On this date, 03/04/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

A Civil Penalty has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

See LIC809-D for cited deficiencies.

LPA Perla Ordones and Samuel Lopez informed licensee Sally De La Paz that this report dated 03/04/2024 document(s) two Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Perla Ordones and Samuel Lopez informed licensee Sally De La Paz to provide a copy of this licensing report dated 03/04/2024 that documents any Type A citation(s) 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.

A notice of site visit was given to licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the Licensee Sally De La Paz.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2024
LIC809 (FAS) - (06/04)
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