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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376604652
Report Date: 04/05/2023
Date Signed: 04/05/2023 11:54:54 AM


Document Has Been Signed on 04/05/2023 11:54 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108



FACILITY NAME:SUAREZ, CLAUDIA FAMILY CHILD CAREFACILITY NUMBER:
376604652
ADMINISTRATOR:SUAREZ, CLAUDIA MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 376-8341
CITY:SAN DIEGOSTATE: CAZIP CODE:
92124
CAPACITY:14CENSUS: 9DATE:
04/05/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Kristina Reyes & Claudia SuarezTIME COMPLETED:
09:45 AM
NARRATIVE
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On 4/5/23 at 8:20 AM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced case management inspection at the facility. Upon arrival, LPA met with assistant Kristina Reyes who lives in the home and is fingerprint cleared and associated. Ms. Reyes stated that Licensee had not arrived yet and sometimes stays with her husband in Rancho Sante Fe area. As LPA walked into the home, Licensee's daughter Paula "Daniela" Suarez came down from upstairs. Paula Daniela Suarez is not fingerprint cleared or associated to the facility. LPA observed 9 children in care including 1 infant and 1 school age child. Licensee Claudia Suarez arrived at 8:30 AM. Paula Daniela Suarez left at 8:52 AM. Licensee's daughter Sophie "Isabella" Suarez arrived at the facility at 9:15 AM and is fingerprint cleared and associated to the license. Three additional children arrived at 9:30 AM for a total of 12 children (which includes 3 infants and 1 school age). Licensee corrected ratio violation during the inspection. LPA reviewed children's records, obtained copy of current roster and interviewed Licensee and staff at facility.

LPA Keturah Lane informed licensee Claudia Suarez that this report dated 4/5/2023 documents 1 Type A citation (and 1 Type B citation) which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Keturah Lane informed the licensee to provide a copy of this licensing report dated 4/5/23 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 Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Civil penalties were assessed in the amount of $500. Licensee was provided a copy of Civil Penalties Assessment LIC421BG. Exit interview conducted and report was reviewed with Licensee Claudia Suarez. Notice of Site Visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:
DATE: 04/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/05/2023
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 04/05/2023 11:54 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108


FACILITY NAME: SUAREZ, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER: 376604652

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/05/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/06/2023
Section Cited

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102370 Criminal Record Clearance - (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by...
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Licensee stated she would have Paula Daniela Suarez fingerprinted by 4/6/23 and send proof of fingerprint form via e-mail to LPA Lane at: Keturah.Lane@dss.ca.gov
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Based upon LPA observation, Licensee's daughter Paula Daniela Suarez was not fingerprint cleared or associated to the license and was in contact with the daycare children which is an immediate health, safety and personal rights risk to children 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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:
DATE: 04/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/05/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3


Document Has Been Signed on 04/05/2023 11:54 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108


FACILITY NAME: SUAREZ, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER: 376604652

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/05/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/05/2023
Section Cited

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102416.5 Staffing Ratio and Capacity - (e) If no assistant provider is present at Large Family Child Care Home, then the Licensee shall comply with the capacity requirements of a Small Family Child Care Home as specified in subsections (b) and (c)...This requirement was not met as evidenced by...
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Ratio violation was corrected at visit when Licensee arrived at 8:30 AM. Licensee will provide written statement clarifying ratio requirements and e-mail to LPA Lane at: Keturah.Lane@dss.ca.gov
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Based upon LPA observation, assistant provider was alone with 9 children at time of inspection which is a potential health, safety and personal rights risk to children 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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Keturah LaneTELEPHONE: (619) 767-2223
LICENSING EVALUATOR SIGNATURE:
DATE: 04/05/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/05/2023
LIC809 (FAS) - (06/04)
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