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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376614893
Report Date: 11/15/2023
Date Signed: 11/15/2023 04:35:31 PM

Document Has Been Signed on 11/15/2023 04:35 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:VAZQUEZ, PATRICIA FAMILY CHILD CAREFACILITY NUMBER:
376614893
ADMINISTRATOR:PATRICIA VAZQUEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 584-2246
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
11/15/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Patricia VazquezTIME COMPLETED:
04:40 PM
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On 11/15/23 at 3:25PM, Licensing Program Analyst (LPA) Luigi Gargaro conducted a return Plan Of Correction visit to the facility to review pending facility corrections. During today's visit, analyst found the following corrections:

1) Licensee had adult daughter, Kimberly Orozco, complete Livescan fingerprinting; 2) safe sleep logs are being maintained as required for all infants in care; 3) children in care had proof of required vaccinations on blue immunization formatted cards; and 4) fifth infant in care was disenrolled from the facility.

Licensee had partial completion of infant sleep plan correction as second infant requiring form completion has not been attending day care. Licensee states she will have parent complete form when child next returns. Other two remaining corrections are to be completed by beginning of next month and submitted to analyst by noted dates.

Licensee satisfactorily completed the corrections noted and was provided a copy of today's report and cleared plan of correction letters indicating same.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2023
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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