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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444410295
Report Date: 06/12/2023
Date Signed: 06/12/2023 12:51:16 PM

Document Has Been Signed on 06/12/2023 12:51 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:TORRES, NORMAFACILITY NUMBER:
444410295
ADMINISTRATOR:NORMA TORRESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 761-5723
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 2DATE:
06/12/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Norma TorresTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Deanna Villagrana met with licensee Norma Torres for a Plan of Correction visit. Present were licensee, licensee's adult daughter, her 16 year old daughter and two grandchildren ages 8 years old and 11 months.

LPA reviewed the inside and outside of the home and children's files. LPA observed LIC995 for child 1. LPA did not observe LIC9227 in child 3's file. LPA asked licensee if she had completed Mandated Reporter training and she stated she had not. She stated she had contacted the program on Saturday 06/10/2023 and they were going to have a class but was not sure what day. LPA explained she put the website the training could be found on report dated 05/19/2023. LPA requested she complete training today to avoid additional civil penalties. Training can be found at mandatedreporterca.com. LPA observed LIC9224 in children's files for two type a violations issued on 05/19/2023.

Exit interview conducted and report was reviewed with the licensee Norma Torres.

No deficiency was cited.

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: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 06/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2023
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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