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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360918393
Report Date: 05/09/2024
Date Signed: 05/09/2024 01:16:16 PM

Document Has Been Signed on 05/09/2024 01:16 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:GADEA FAMILY CHILD CAREFACILITY NUMBER:
360918393
ADMINISTRATOR/
DIRECTOR:		MARIA & JAYRO GADEAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 799-0543
CITY:LOMA LINDASTATE: CAZIP CODE:
92354
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
05/09/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Maria GadeaTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 05/09/2024 at 9:00 AM, Licensing Program Analysts (LPAs) Tiffanie Diep and Raymond Moorehead arrived at the facility to conduct an annual inspection. LPAs toured inside and outside of the home, reviewed records, and observed and/or discussed the following:
  • Licensee Maria Gadea’s adult child/assistant (S2) was also present during the inspection.
  • Normal days and hours of operation are Monday through Friday from 6:00 AM to 8:00 PM, Saturday from 10 AM to 8:00 PM, and Sunday from 4:00 PM to 12:00 AM.
  • During the inspection, Licensee requested to make the office on limits. The office will be made on-limits effective today, May 9, 2024. Per Licensee’s request, the off-limits areas will now include: the master bedroom, back house, and pool area.
  • The facility was not operating within the licensed capacity and appropriate ratios. Upon entry into the facility, LPAs observed seven children present in the home with Licensee and S2, five of whom were infants.
  • Appropriate supervision was provided during the inspection.
  • A working telephone was present with current number on file.
  • An appropriate fire extinguisher, smoke detector, and carbon monoxide detector were present and tested by Licensee during the inspection.
  • LPAs observed a fireplace in the home. Licensee stated the fireplace is not currently in operation and will maintain supervision to ensure children's safety.
  • All hazardous items were stored inaccessible to children.
  • Toxins were locked.
  • There are no weapons present in the home per Licensee. Licensee understands all firearms, weapons, and ammunition must be locked separately and made inaccessible to children in care according to Title 22 Regulations.

Continues on LIC 809-C
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GADEA FAMILY CHILD CARE
FACILITY NUMBER: 360918393
VISIT DATE: 05/09/2024
NARRATIVE
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Continued from LIC 809 (Page 2)
  • Facility is a one-story home.
  • Verification of control of property on file (Mortgage Statement).
  • Facility sketches, Emergency Disaster Plan (LIC 610A), and Notification of Parents' Rights poster (PUB 394) were posted.
  • Preventive health and safety training was completed on 12/16/2005.
  • Pediatric CPR and first aid certification expires on 01/21/2025.
  • Mandated Reporter Training certificate expires on 01/06/2025.
  • The backyard has an in-ground pool area that is fenced according to Title 22 Regulations, and LPAs observed the gate to self-close and self-latch. LPAs advised Licensee to conduct maintenance on the pool gate to allow a smoother latching. Licensee understands all bodies of water, including in-ground and above-ground pools, hot tubs, spas, and ponds, must be inaccessible to children in care and be properly covered or fenced according to Title 22 Regulations. The Department must be notified prior to installation of these and similar bodies of water.
  • Clean, safe, and age-appropriate toys were present.
  • A current roster of children was on file.
  • Documentation of fire and disaster drills was not on file; last drill was conducted on 09/23/2023.
  • Children’s records were not complete. LPAs did not observe completed Individual Infant Sleeping Plans (LIC 9227) for two out of two infants under 12 months. LPAs provided a copy of the LIC 9227. LPAs did not observe 15-minute sleeping logs for three out of five infants under 24 months. LPAs did not observe required immunizations records for two out of seven children.
  • Staff records were not complete. LPAs did not observe documentation of required immunizations for Licensee and S2 was maintained.
  • Licensee was informed of their reporting requirements and was provided with the Regional Office’s Unusual Incident Reporting e-mail at UnusualIncidentReportsDO09@dss.ca.gov.
  • Licensee can submit transfer forms to associate new individuals or to disassociate someone from their facility via e-mail to Associations_Disassociations862@dss.ca.gov.
  • The Duty Officer is available to answer questions Monday through Friday from 8:00 AM to 5:00 PM at (951) 782-4200.
  • Resident and/or staff records reviewed during today’s inspection indicate that all adults who require caregiver background checks have received all required clearances or exemptions.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024
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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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GADEA FAMILY CHILD CARE
FACILITY NUMBER: 360918393
VISIT DATE: 05/09/2024
NARRATIVE
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Continued from LIC 809-C (Page 3)

Licensee was reminded that all adults 18 and over living or working in the home, 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 five 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.

LPAs discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPAs also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey may be sent to the e-mail address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE Tool, please send e-mail inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at https://www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process. Licensee was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024
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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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GADEA FAMILY CHILD CARE
FACILITY NUMBER: 360918393
VISIT DATE: 05/09/2024
NARRATIVE
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Continued from LIC 809-C (Page 4)

See attached LIC 9102 for advisory notes. Based on LPAs’ observations, interviews conducted, and records reviewed, deficiencies are being cited on the attached LIC 809-D. LPAs Tiffanie Diep and Raymond Moorehead informed the licensee, Maria Gadea, that this report dated 05/09/2024 documents one Type A citation which shall be posted for 30 consecutive days as there was an immediate risk to the safety of children in care. LPAs also informed Licensee that this report dated 05/09/2024 documents four Type B citations. Type B citations are a potential risk to the health, safety, or personal rights of children in care.

Also, LPAs informed Licensee to provide a copy of this licensing report dated 05/09/2024 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 Acknowledgment of Receipt of Licensing Reports (LIC 9224), or other written statement, must be placed in the child’s file for verification.

An exit interview was conducted and report was reviewed with the licensee, Maria Gadea. During the exit interview, Licensee confirmed that there are no registered sex offenders (RSO) living in the facility and LPAs completed the RSO profile in the Field Automation System. 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.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024
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Document Has Been Signed on 05/09/2024 01:16 PM - It Cannot Be Edited


Created By: Tiffanie Diep On 05/09/2024 at 12:29 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: GADEA FAMILY CHILD CARE
FACILITY NUMBER: 360918393

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102416.5(d)(1)
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 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: (1) Twelve children, no more than four of whom may be infants; or

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, the licensees did not comply with the section cited above as licensee did not ensure the maximum number of children for whom care was provided at any one time as there were five infants present upon LPAs’ entry into the facility which poses an immediate safety risk to children in care.
POC Due Date: 05/10/2024
Plan of Correction
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LPAs discussed staffing ratio with Licensee. Licensee agreed to provide a written plan of action to LPAs by close of business on 05/10/2024.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Aaron Ross
LICENSING EVALUATOR NAME:Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2024


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Document Has Been Signed on 05/09/2024 01:16 PM - It Cannot Be Edited


Created By: Tiffanie Diep On 05/09/2024 at 12:29 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: GADEA FAMILY CHILD CARE
FACILITY NUMBER: 360918393

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, interviews conducted, and records reviewed, the licensee did not comply with the section cited above as LPAs observed the last fire and disaster drill was conducted on 09/23/2023 which poses a potential safety risk to children in care.
POC Due Date: 06/07/2024
Plan of Correction
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Licensee agreed to provide documentation of completed drill to LPAs by 06/07/2024.
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, interviews conducted, and records reviewed, the licensee did not comply with the section cited above as licensee did not ensure required immunizations were maintained which poses a potential health risk to children in care.
POC Due Date: 06/07/2024
Plan of Correction
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LPAs discussed the requirement to maintain documentation of the required immunizations for all employees and volunteers. Licensee agreed to provide proof of required immunizations for themselves and S2 to LPAs by 06/07/2024.
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:Aaron Ross
LICENSING EVALUATOR NAME:Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2024


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Document Has Been Signed on 05/09/2024 01:16 PM - It Cannot Be Edited


Created By: Tiffanie Diep On 05/09/2024 at 12:29 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: GADEA FAMILY CHILD CARE
FACILITY NUMBER: 360918393

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, interviews conducted, and records reviewed, the licensee did not comply with the section cited above as licensee did not ensure the LIC 9227 was maintained for two out of two infants which poses a potential health and safety risk to children in care.
POC Due Date: 06/07/2024
Plan of Correction
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4
LPAs discussed the requirement to maintain the LIC 9227 for infants under 12 months. Licensee agreed to provide proof of completed LIC 9227 form for C2 and C7 to LPAs by 06/07/2024.
Type B
Section Cited
CCR
102425(j)(2)(D)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, interviews conducted, and records reviewed, the licensee did not comply with the section cited above as licensee did not ensure 15-minute sleeping logs were completed for three out of five infants which poses a potential health and safety risk to children in care.
POC Due Date: 06/07/2024
Plan of Correction
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LPAs discussed the requirement to check and log infant sleeping every 15 minutes for infants under 24 months. Licensee agreed to provide proof of completed 15-minute sleeping logs for C1, C4, and C6 to LPAs by 06/07/2024.
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:Aaron Ross
LICENSING EVALUATOR NAME:Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:
DATE: 05/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/09/2024


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