Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617458
Report Date: 10/03/2018
Date Signed: 10/03/2018 10:16:27 AM

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:TORRES, IRMA FAMILY CHILD CAREFACILITY NUMBER:
376617458
ADMINISTRATOR:IRMA TORRESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 583-2024
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY:14CENSUS: 4DATE:
10/03/2018
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:33 AM
MET WITH:Irma TorresTIME COMPLETED:
10:20 AM
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LPA Nancy Diaz conducted an unannounced case management inspection today. Upon arrival, Mrs. Torres was observed providing care to 4 children (two children were 10 months old; one child was two years old and one child age 3). Licensee's daugther Carolina Sanchez arrived a few minutes into this analyst's visit. She helped translate this visit in Spanish.

Mrs. Torres removed the coffee table from the living room today (it had sharp corners that may pose hazard to small children.) She chose to remove it instead of installing bumper guards.

NO DEFICIENCY CITED TODAY.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2018
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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