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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846376
Report Date: 09/03/2025
Date Signed: 09/03/2025 02:12:35 PM

Document Has Been Signed on 09/03/2025 02:12 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:CHOTO FAMILY CHILD CAREFACILITY NUMBER:
364846376
ADMINISTRATOR/
DIRECTOR:		CHOTO,JASMINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 206-3215
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
09/03/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:26 AM
MET WITH:Jasmine ChotoTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On date and time listed above, Licensing Program Analyst (LPA) Justin Giese made an unannounced visit to the facility for the purpose of inspecting/clearing Deficiencies issued on 02/26/2025. LPA was granted entry by Licensee, Jasmine Choto. The following was observed and discussed: At time of visit, 8 children were in care.

The Licensee was issued deficiencies and pending proof of corrections for the following items:

1. A life ring with a minimum exterior diameter of 17 inches and labeled as approved by the United States Coast Guard.
2. A rescue pole with a body hook and minimum fixed length of 12 feet
3. A pool alarm that will sound upon detecting an entrance into the water and must be turned on and be in working condition during the FCCH’s operating hours while the swimming pool is not in use. The alarm must meet the ASTM International Standard F2208.
4. Log of daily tests for functionality of pool alarm.

LPA toured the facility inside and out and observed the in ground pool to be enclosed by a 5 foot tall mesh fence with a self closing self latching gate that swings away from the pool. LPA did not observe the above listed equipment to be present at the facility. Licensee stated they have yet to acquire the above listed equipment and understand their deficiencies are outstanding and they continue to be out of compliance.
NAME OF LICENSING PROGRAM MANAGER: Gilbert Sena
NAME OF LICENSING PROGRAM ANALYST: Justin Giese
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: CHOTO FAMILY CHILD CARE
FACILITY NUMBER: 364846376
VISIT DATE: 09/03/2025
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Licensee understands that repeat violations will be issued and civil penalties assessed if the pool safety equipment is not acquired on or before 10/03/2025. LPA will make another unannounced visit to assure the pool safety equipment is available and functioning at the facility.

Additionally, Licensee was issued Technical violations on 02/26/2025 for the following items:

1. Current CPR/First Aide card not present
2. Current Mandated Reporter Certificate present
3. Current fire/earthquake drill conducted within the last 6 months

Based on Licensee's own admission, These items have not been acquired/updated or made available for LPA to observe during today's visit. The Licensee will be issued Type B deficiencies for the above listed items. Please see LIC809D

An exit interview was conducted, appeal rights and report was reviewed with Licensee, Jasmine Choto.

A notice of site visit was given and must remain posted for 30 days
NAME OF LICENSING PROGRAM MANAGER: Gilbert Sena
NAME OF LICENSING PROGRAM ANALYST: Justin Giese
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 09/03/2025 02:12 PM - It Cannot Be Edited


Created By: Justin Giese On 09/03/2025 at 11:55 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: CHOTO FAMILY CHILD CARE
FACILITY NUMBER: 364846376

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/03/2025
Section Cited
HSC
1596.8662(b)(1)

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(1)... a licensed child day care provider... or employee of a licensed child day care facility shall... complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This was not met as evidenced by:
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Licensee agrees to meet this regulation and will complete the renewal of their Mandated Reporter Certificate on or before the stated POC date of 10/03/2025.
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Based on LPA observation/interview the Licensee has not completed renewal of their Mandated Reporter Certificate, which poses a potential health, safety or personal rights risk to persons in care.
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Type B
10/03/2025
Section Cited
CCR102416(c)

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(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid...

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Licensee agrees to meet this regulation and will complete the renewal of their CPR/First Aid on or before the stated POC date of 10/03/2025.

CPR needs to be EMSA approved, Red Cross or American Heart Association
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Based on LPA observation/interview the Licensee has not completed renewal of their CPR/First Aid card, which poses 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.
Gilbert Sena
NAME OF LICENSING PROGRAM MANAGER:
Justin Giese
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/03/2025


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 09/03/2025 02:12 PM - It Cannot Be Edited


Created By: Justin Giese On 09/03/2025 at 12:10 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: CHOTO FAMILY CHILD CARE
FACILITY NUMBER: 364846376

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/03/2025
Section Cited
CCR
102417(g)(9)(A)1

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(A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home
This was not met as evidenced by:
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Licensee agrees to meet this regulation and will conduct a disater drill and log its date and time on or before the stated POC date of 10/03/2025.
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Based on LPA observation/interview the Licensee has not coducted a disaster drill within the last six months, which poses 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.
Gilbert Sena
NAME OF LICENSING PROGRAM MANAGER:
Justin Giese
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/03/2025


LIC809 (FAS) - (06/04)
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