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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841126
Report Date: 11/21/2023
Date Signed: 11/21/2023 10:37:48 AM

Document Has Been Signed on 11/21/2023 10:37 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:VALENZUELA FAMILY CHILD CAREFACILITY NUMBER:
364841126
ADMINISTRATOR:VALENZUELA, ALISIA & DANIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 824-7415
CITY:COLTONSTATE: CAZIP CODE:
92324
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
11/21/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Alisia ValenzuelaTIME COMPLETED:
10:45 AM
NARRATIVE
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On 11/21/2023 at 09:40 AM, Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conduct a Plan of Correction (POC) visit to follow up on deficiencies cited during the annual inspection that was conducted on 09/22/2023. LPA toured the facility, took census and met with the licensee.

LPA confirmed during today's visit that the following deficiencies were not corrected:

1.) Mandated Reporter Training Certificate for Licensee. (Licensee's assistant has completed their mandated reporter training.)

2.) Documentation of safe sleep 15-minute check logs for all infants 24 months and under in care

The licensee stated that she was unable to correct the above violations due to time constraints and taking other classes. LPA informed the licensee that the facility is not in compliance with title 22 regulations.

A citation and civil penalty for repeat violations have been assessed. See LIC 809-D.

Exit interview was conducted with Licensee, a copy of this report has been reviewed and provided with the licensee. Appeal rights were discussed and given. A notice of site visit was given and must remain posted in a prominent place for 30 consecutive days. Failure to comply with posting requirements will result in a civil penalty of $100.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2023
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 11/21/2023 10:37 AM - It Cannot Be Edited


Created By: Raymond Moorehead On 11/21/2023 at 09:49 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: VALENZUELA FAMILY CHILD CARE
FACILITY NUMBER: 364841126

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/28/2023
Section Cited
CCR
1596.8662(b)(1)

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(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
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Licensee agrees to complete the required mandated reporter training and submit proof of completion to LPA by 11/28/2023 via email. (Raymond.Moorehead@dss.ca.gov)
MandatedReporterCa.com
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This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Licensee's mandated reporter training expired on 02/10/2020.
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Type B
11/28/2023
Section Cited
CCR102425(j)(2)(D)(c)

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Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check
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Licensee agrees document 15-minute checks on the sleep log for infants in care for each time/day that they are in care. Licensee agrees to submit proof of both infant sleep logs by 11/28/2023 to LPA via email.
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This requirement is not met as evidenced by:
Based on record review, the licensee did not comply with the section cited above in 2 total infants which poses a potential health and safety risk to persons in care. Licensee started documentation of sleep checks, but has not completed them for each day the infant is 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:Aaron Ross
LICENSING EVALUATOR NAME:Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2023


LIC809 (FAS) - (06/04)
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