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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845463
Report Date: 05/22/2024
Date Signed: 05/22/2024 02:15:45 PM

Document Has Been Signed on 05/22/2024 02:15 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:GUTIERREZ FAMILY CHILD CAREFACILITY NUMBER:
334845463
ADMINISTRATOR/
DIRECTOR:		GUTIERREZ, ANGELICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 379-1145
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92551
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
05/22/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Angelica Gutierrez, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:17 PM
NARRATIVE
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On 05/22/24, Licensing Program Analyst (LPA) Jesse Gardner, and Licensing Program Manager (LPM) Deborah Mullen conducted an announced informal conference at the Department Office at 3737 Main St. Suite 700 Riverside, CA 92501. In attendance was Licensee Angelica Gutierrez.

The following was discussed during the meeting:
  2. Licensee being present 80% of the time, per day, during hours of operation.
  3. Child Care Assistant interactions with children.
  4. Personal Rights of Children.

During an investigation of Complaint # 10-CC-20240404130758 the Department became aware of the Licensee being absent from the facility for more than 20% of the time and assistants providing care during the Licensees' absence.

It was discussed with Licensee that if Licensee is going to be absent more than 20% of the time, the day care will need to be closed. During the meeting the Licensee was provided information on Resource and Referral and advised to seek training for staff on positive discipline for children in care.

An exit interview was conducted where a copy of this report was reviewed with and provided along with a copy of the LIC809D, and Appeal Rights.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 05/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/22/2024
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 05/22/2024 02:15 PM - It Cannot Be Edited


Created By: Jesse Gardner On 05/22/2024 at 12:59 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: GUTIERREZ FAMILY CHILD CARE
FACILITY NUMBER: 334845463

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/29/2024
Section Cited
CCR
102417(a)

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Operation of a Family Child Care Home: (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement was not met as evidenced by:
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Licensee states that they will provide a staffing plan to account for any absences by the Licensee.
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Based on staff interview, the Licensee was absent for more than 20% of the hours of the day, and therefore the regulation was not met. This is a potential health and safety and/or personal rights risk to children in care.
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Additionally, Licensee states that they will review and provide a written statement acknowledging an understanding of the regulation and provide proof of such by POC date.

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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:Deborah Mullen
LICENSING EVALUATOR NAME:Jesse Gardner
LICENSING EVALUATOR SIGNATURE:
DATE: 05/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/22/2024


LIC809 (FAS) - (06/04)
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