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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444405736
Report Date: 03/06/2024
Date Signed: 03/06/2024 10:50:02 AM

Document Has Been Signed on 03/06/2024 10:50 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:HURLEY, DEBBIEFACILITY NUMBER:
444405736
ADMINISTRATOR:DEBBIE HURLEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 419-5126
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 7DATE:
03/06/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Debbie HurleyTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA), Cortney Nelson, met with Licensee, Debbie Hurley, to follow-up on incident that occurred on 2/9/2024. The incident was self reported to the Department by the Licensee on 2/14/2024. Upon arrival, there were seven (7) children (three (3) infants, four (4) preschool-age) the Licensee and Assistant (S1) present, which is compliant with the home license capacity requirements.

On 2/9/2024, two school-age children in care (C1 & C2) engaged in taking inappropriate pictures with an iPad during nap time. The children were positioned behind the couch and were not supervised during this time to prevent the photos from occurring. During interviews conducted by the LPA with individuals affiliated with the incident, there was a statement that the Licensee was sleeping, however the Licensee has stated this is not true. Follow-up has been conducted since the incident occurred and the Licensee states that she is not planning to allow iPads at her family child care home (FCCH) moving forward. A child has additionally been removed from attendance at the FCCH.

LPA informed licensee (Debbie Hurley) that this report dated (3/6/2024) documents one Type A citation, which shall be posted for 30 consecutive days as there was immediate risk to the health, safety, or personal rights of children in care.

Also, LPA informed the licensee to provide a copy of this licensing report dated (3/6/2024) 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. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

As a result of today's inspection, a deficiency was cited, see LIC809-D.

Exit interview conducted and report was reviewed with the Licensee, Debbie Hurley.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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 03/06/2024 10:50 AM - It Cannot Be Edited


Created By: Cortney Nelson On 03/06/2024 at 10:20 AM
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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: HURLEY, DEBBIE
FACILITY NUMBER: 444405736

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
03/07/2024
Section Cited
CCR
102423(a)(1)

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102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee, regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons.
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The Licensee shall submit written statement regarding changes that shall be made at the family child care home to ensure that this situation does not occur again in the future.
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This requirement was not met as evidenced by:

The Licensee did not adequately supervise children in care, resulting in children taking inappropriate pictures, which poses an immediate risk to the health, safety, and personal rights of 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:Joel Segura
LICENSING EVALUATOR NAME:Cortney Nelson
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2024


LIC809 (FAS) - (06/04)
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