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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416759
Report Date: 07/11/2023
Date Signed: 07/11/2023 10:58:31 AM

Document Has Been Signed on 07/11/2023 10:58 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:GUTIERREZ CASTRO, OMAR & SALAS, ANGELFACILITY NUMBER:
434416759
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/11/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Omar Gutierrez Castro and Angel SalasTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Deanna Villagrana and Licensing Program Manager (LPM) Mary Segura conducted a scheduled office meeting at the San Jose Regional Office with Licensee Omar Gutierrez Castro and Angel Salas to discuss their request for increase of capacity and citations issued including four type A citations since obtaining their license.

On 05/18/2022, LPA conducted a Complaint visit regarding facility operating out of ratio and Licensee using improper form of discipline. Both allegations were substantiated, facility was operating out of ratio and Angel Salas gave child chile. During the visit on 05/18/2022, LPA observed stairs were not barricaded while children under five years old were present. LPA conducted a one year required visit on 03/08/2023 and LPA observed Ajax and Gain dish soap accessible to children under the kitchen sink. Licensees have corrected cited deficiencies at time of inspection.

LPM Mary Segura, explained that if there are continued serious deficiencies cited against the facility including but not limited to citations for Personal Rights, Ratio and Operation of a Family Child Care Home, the license may be referred to legal for possible administrative action, which could include revocation of the facility license. The facility will be monitored more frequently to ensure that the facility is maintaining compliance with Title 22 regulations. At this time approval for an increase of capacity is not granted. Licensee may apply again in 6 months if they have demonstrated substantial compliance with Title 22 Regulations. Licensees provided a hand written statement stating they are withdrawing their increase of capacity application at this time.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2023
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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