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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376619495
Report Date: 09/16/2021
Date Signed: 09/16/2021 03:19:08 PM

Document Has Been Signed on 09/16/2021 03:19 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:TORRES, AURELIA FAMILY CHILD CAREFACILITY NUMBER:
376619495
ADMINISTRATOR:AURELIA TORRESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 415-0272
CITY:CARLSBADSTATE: CAZIP CODE:
92009
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/16/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Aurelia TorresTIME COMPLETED:
03:30 PM
NARRATIVE
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On 9/16/2021 at 2:15 p.m. Licensing Program Analyst (LPA) Leilani Curtis conducted an unannounced case management inspection. Upon arrival LPA met with Licensee Aurelia Torres and proceeded to tour the facility. There were no daycare children present.

On 7/12/21 the licensee's adult daughter/helper (H1) tested positive for Covid-19. The licensee took care of two daycare children on 7/13/21 and 7/14/21. The licensee states that she called Community Care Licensing and the Department of Public Health but does not remember the date she called. She states that she believes she spoke with the Community Care Licensing Duty Officer on 7/15/21. The licensee states that she did not submit a written report to the Department within 7 days of the incident or of the positive Covid-19 test result.

Please see LIC 809D for cited deficiency.
LPA provided the CCLD website: http://ccld.ca.gov.

An exit interview was conducted with the licensee and Appeal Rights (LIC 9058 1/16) were discussed. A printed copy of this report as well as a printed copy of the appeal rights were provided and reviewed with the licensee at the conclusion of the inspection. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. LPA observed the director post notice of site visit.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Grace Curtis
LICENSING EVALUATOR SIGNATURE: DATE: 09/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2021
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 09/16/2021 03:19 PM - It Cannot Be Edited


Created By: Grace Curtis On 09/16/2021 at 12:36 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: TORRES, AURELIA FAMILY CHILD CARE
FACILITY NUMBER: 376619495

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/30/2021
Section Cited
CCR
102416.2(d)(2)

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Reporting Requirements: (d) The licensee shall report to the Department as provided by Health and Safety Code Sections 1597.467(b)(1) and (2). (2) Health and Safety Code Section 1597.467(b)(2) provides: "In addition to the report required pursuant to paragraph (1), a written report shall be submitted to the department within seven days following the occurrence of any events specified in paragraph (1). This requirement was not met as evidenced by:
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The licensee states she will submit a LIC624B detailing the incident. The licensee will also watch the video on Child Care Reporting Requirements located on the department website, (https://ccld.childcarevideos.org/family-child-care-providers/), and provide a written summary to LPA by POC due date.
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Based on LPA's interview with licensee and record review, the licensee did not submit a written report, LIC624B, to the department to advise that her helper (H1) tested positive for Covid-19 on 7/12/21 and quarantined inside of the facility when daycare children were present. This poses a potential health and safety 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:Tashima Daniel
LICENSING EVALUATOR NAME:Grace Curtis
LICENSING EVALUATOR SIGNATURE:
DATE: 09/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/16/2021


LIC809 (FAS) - (06/04)
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