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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376628598
Report Date: 09/14/2022
Date Signed: 09/14/2022 09:47:56 AM

Document Has Been Signed on 09/14/2022 09:47 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:CORONA, GABRIELA FAMILY CHILD CAREFACILITY NUMBER:
376628598
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
09/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Gabriela Corona TIME COMPLETED:
10:00 AM
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On 09/14/2022 at 9:00am, Licensing Program Analyst (LPA) David Miller conducted an unannounced case management inspection for the purpose of a capacity increase from a small to a large license. LPA met with the licensee, who was on site with 1 staff and 6 children (aged between 2-5)

On 08/05/2022, Licensee submitted an application (LIC 279) requesting a capacity increase. The Fire Safety Inspection Request (STD 850) was approved for fourteen (14) children on 08/25/2022.

This facility is a one story, three (3) bedroom, one (1) bathroom home. Licensee accompanied LPA during this inspection. Licensee is using the following areas for daycare: daycare room, family room, and bathroom. Licensee stated that the family room will be used for isolation of sick children. Off limits areas include; kitchen, Master Bedroom, and bedroom 1 and bedroom 2, and are made inaccessible via a safety gate in front of the kitchen and safety knobs on the exterior side of all the bedrooms. Licensee states she will utilize fenced backyard for outdoor activities. Licensee was reminded that continuous supervision is to be given to children whenever engaged in outdoor activities. The hours of operation are Monday through Friday from 7:30 AM to 5:30PM. Licensee stated she will notify the Department of any changes in the hours of operation.

The fire extinguisher is rated 2A 10B: C. and is in the kitchen mounted on the kitchen wallThe smoke/carbon monoxide detector meets requirements and is operational. LPA observed that the home has sufficient space, toys, and equipment available for children’s use.


SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022
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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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: CORONA, GABRIELA FAMILY CHILD CARE
FACILITY NUMBER: 376628598
VISIT DATE: 09/14/2022
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Licensee’s First Aid and CPR certifications expire on 10/21/2023. Licensee has required immunizations. Licensee completed the mandated reporter training on 04/26/2022. The facility roster is maintained and was reviewed. The last fire and disaster drills were conducted and documented on 08/17/2022. Licensee stated there are no bodies of water on the premises, and no weapons or ammunition in the facility. LPA observed no bodies of water during the inspection.

The Licensee was provided with the Ratio/Capacity Worksheet for a large family childcare home. The Licensee acknowledged that 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. Licensee stated that she does not have property owner landlord consent (LIC-9149) to care for 14 children. Licensee stated that she will only care for 12 children at this time.

The Licensee is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248. Southern California Child Care Advocate (SCCCA) information was provided. The Licensee is already enrolled in this program’s email
email list through the CCLD website, thus receives updated regulation information. Advocate information was provided: (916) 654-1541 and childcareadvocatesprogram@dss.ca.gov

A large license may be issued after a final file review. No deficiencies cited during today’s inspection on this date.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Licensee Gabriela Corona.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: David Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022
LIC809 (FAS) - (06/04)
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