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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376618725
Report Date: 02/22/2024
Date Signed: 02/22/2024 03:44:53 PM

Document Has Been Signed on 02/22/2024 03:44 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:VILLALPANDO, VIRIDIANA FAMILY CHILD CAREFACILITY NUMBER:
376618725
ADMINISTRATOR:VIRIDIANA VILLALPANDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 277-4973
CITY:SAN DIEGOSTATE: CAZIP CODE:
92111
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
02/22/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Viridiana VillalpandoTIME COMPLETED:
04:00 PM
NARRATIVE
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On 2/22/24 at 1:30 PM, Licensing Program Analyst (LPA) Gerald Poindexter conducted an unannounced case management inspection. Licensee was not present, as she had announced that she would be at a pre-arranged appointment and provided proof to LPA of the appointment. Present was the licensee’s helper, Natalie Hernandez and adult daughter Kayla Banks. Present were 9 daycare children, including 3 infants. Licensee Viridiana Villalpando returned to the facility at approximately 1:37 pm.

LPA observed children going about afternoon activities with the helper, Ms. Hernandez. LPA determined via facility roster and from her personal statement, that Ms. Banks, a resident, had not met requirement for adults living in the home.

Type A deficiencies were cited today, and if not corrected pose immediate risks to the health, safety, or personal rights of children in care. Type B deficiencies were also cited, and if not corrected, pose a potential risk to the health, safety and personal rights of children in care.

LPA Poindexter informed licensee Viridiana Villalpando that this report dated 2/22/24 documents two Type A citations which shall be posted for 30 consecutive days as there is immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Poindexter informed the licensee to provide a copy of this licensing report dated 2/22/24 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.

CONTINUED ON PAGE 2


SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: VILLALPANDO, VIRIDIANA FAMILY CHILD CARE
FACILITY NUMBER: 376618725
VISIT DATE: 02/22/2024
NARRATIVE
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A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

See LIC809D for deficiencies cited.



Exit interview was conducted with licensee Viridiana Villalpando. LPA reviewed this report and copy was provided today. A copy of appeal rights were also given today. Notice of site visit was provided and observed posted.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 02/22/2024 03:44 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 02/22/2024 at 02:45 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VILLALPANDO, VIRIDIANA FAMILY CHILD CARE
FACILITY NUMBER: 376618725

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/23/2024
Section Cited
CCR
102370(d)(1

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(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 is not met as evidenced by:
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The licensee statesshe will ensure that the uncleared adult in home is fingerprinted and cleared and will provide proof to LPA no later than close of business 2/23/24. Licensee will in the future ensure that all adults in the home are fingerprint cleared.
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Based on record review and licensee statement, the licensee did not comply with the section cited above. The licensee’s adult daughter, Ms. Banks, did not have fingerprint clearances, which poses an immediate health, safety or personal rights risk to persons in care.
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Type A
02/29/2024
Section Cited
CCR102416.5

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e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement is not met as evidenced by:
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Provider will submit a written statement identifying how she will stay in ratio in similar absence situations, while managing morning and afternoon child attendees. Licensee will provide LPA with this written statement by the close of business 2/29/24.
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Based on LPA observation, in the licensee’s absence, the licensee’s helper was caring for 9 children at one time, including 3 infants. This is beyond small Small Family Child Care Home and poses an immediate 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:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024


LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 02/22/2024 03:44 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 02/22/2024 at 02:53 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VILLALPANDO, VIRIDIANA FAMILY CHILD CARE
FACILITY NUMBER: 376618725

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/29/2024
Section Cited
CCR
102416.3

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Alterations to Existing Buildings or Grounds a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed…
This requirement is not met as evidenced by:
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The licensee will submit a written statement identifying when renovations will be completed, along with a photo of the completed area. Licensee will also provide a new LIC999 floor plan sketch to identify all on and off limits areas of the home, by the close of business 2/29/24.
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Based on LPA observation and licensee statement, the licensee did not inform the Department of kitchen construction/renovations. This poses a potential health, safety or personal rights risk to persons in care.
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Type B
02/29/2024
Section Cited
CCR102417(g)(9)(a)

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OPERATION OF A FAMILY CHILD CARE HOME. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.
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Licensee stated that she will conduct a fire drill with the children no later than 2/29/2024. She will submit a copy of the fire drill log to the department no later than end of business on 2/29/24
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Based on record review, Licensee has not documented a fire drill since 6/23/23. This 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.
SUPERVISOR'S NAME:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 02/22/2024 03:44 PM - It Cannot Be Edited


Created By: Gerald Poindexter On 02/22/2024 at 02:57 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: VILLALPANDO, VIRIDIANA FAMILY CHILD CARE
FACILITY NUMBER: 376618725

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/23/2024
Section Cited
CCR
102416(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, pursuant to Health and Safety Code Section 1596.866.
This requirement is not met as evidenced by:
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Licensee states that helper will sign up for a course by the end of February 2024 and submit proof to LPA. When completed, the licensee will email a copy of the Pediatric CPR/First Aid card to LPA no later than end of business on 3/23/24.
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Based on record review and licensee statement, the licensee’s helper, Ms. Hernandez, does not have current Pediatric First Aid/CPR. This poses a potential health, safety or personal rights risk to persons in care.
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Type B
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Section Cited
HSC1596.8662(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....
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The licensee states that they will provide a renewed Mandated Reporter Training certificate for Ms. Hernandez no later than 3/23/24. The Mandated Reporter online website address is: mandatedreporterca.com
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Based on record review licensee’s helper, Ms. Hernandez, has an expred certificate dated 4/29/20 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.
SUPERVISOR'S NAME:Joelle Redding
LICENSING EVALUATOR NAME:Gerald Poindexter
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024


LIC809 (FAS) - (06/04)
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