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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416022
Report Date: 06/21/2023
Date Signed: 06/21/2023 11:09:24 AM

Document Has Been Signed on 06/21/2023 11:09 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:MORALES DE QUINTERO, LOURDESFACILITY NUMBER:
434416022
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
06/21/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:03 AM
MET WITH:Lourdes Morales De QuinteroTIME COMPLETED:
11:20 AM
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On 06/21/2023 at 10:03 AM, Licensing Program Analyst (LPA) Teodoro Trujillo met with licensee Lourdes Morales De Quintero, for a Case Management inspection for the type A deficiency cited on 06/06/2023 and follow up change of capacity visit. LPA explained the nature of today's inspection to Licensee. Fire clearance granted by fire department on 05/25/2023. Present with licensee were licensee spouse, with 5 children: one (2) infants and four (3) preschool age.

LPA observed the notice of site visit with the type A deficiency cited on 06/06/2023 were posted. The written plan of correction was received by LPA on 06/08/2023. The child care home is operating within ratio and capacity today. LPA reviewed children's files and observed the LIC 9224 Acknowledgement of Receipt of Licensing Reports with parents' signatures are in each child's file.

No deficiencies were cited during today's visit.

Exit interview conducted and report was reviewed in Spanish with the licensee, Lourdes Morales De Quintero, and LPA advised her that a Large Family Child Care Home License is approved pending approval by Licensing Program Manager.

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.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2023
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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