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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815561
Report Date: 12/03/2024
Date Signed: 12/03/2024 12:48:35 PM

Document Has Been Signed on 12/03/2024 12:48 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:ARMADO FAMILY CHILD CAREFACILITY NUMBER:
364815561
ADMINISTRATOR/
DIRECTOR:		ARMADO, ANGELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 641-9890
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
12/03/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Angela Foxfield, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
NARRATIVE
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On 12/3/2024 at 10:00 AM, Licensing Program Analyst (LPA) Claudia Caywood met with Licensee, Angela Armado for the purpose of a Plan of Correction (POC) inspection. LPA viewed eight children present and one assistant in addition to the licensee.

During an annual inspection conducted on 11/08/2024, Licensee was issued nine Type B citations. During the Plan of Correction (POC) visit on 12/3/24 licensee was able to clear all but 2 POC's that were due on 11/15/24. During the file review for both assistants, assistants did not have immunization clearance for tuberculosis (TB) and one assistant for MMR.



Licensee did not correct the previously cited deficiencies, which resulted in additional Type B citations until corrected. See LIC 809-D.

An exit interview was conducted, and report was reviewed with the licensee, Angela Armado. 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. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
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 12/03/2024 12:48 PM - It Cannot Be Edited


Created By: Claudia Caywood On 12/03/2024 at 12:21 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: ARMADO FAMILY CHILD CARE
FACILITY NUMBER: 364815561

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/13/2024
Section Cited
HSC
1597.622(a)(1)

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Health and Safety Code 1597.622 (a)(1) 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...

This requirement is not met as evidenced by:
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Licensee agreed to provide proof of MMR immunzations for assistant by POC due date of 12/13/24. Licensee will send proof of POC via email to LPA.
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Based on interview and record review, licensee did not correct a previously cited POC (MMR )proof of immunizations for assistant which posed a potential health, safety, or personal rights risk to persons in care.
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Type B
12/13/2024
Section Cited
HSC1597.622(c)

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Health and Safety Code 1597.622 (c) The family day care home... shall maintain documentation of the required immunizations... in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
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Licensee agreed to provide proof of TB immunzations for both assistants by POC due date of 12/13/24. Licensee will send proof of POC via email to LPA.
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Based on observation and record review, the licensee did not correct a previously cited POC in that they could not provide proof of TB immunization record for assistants which posed a potential health, safety or personal rights risk to persons in care.
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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:Gilbert Sena
LICENSING EVALUATOR NAME:Claudia Caywood
LICENSING EVALUATOR SIGNATURE:
DATE: 12/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/03/2024


LIC809 (FAS) - (06/04)
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