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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014901
Report Date: 06/13/2022
Date Signed: 08/23/2022 03:43:54 PM

Document Has Been Signed on 08/23/2022 03:43 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:GRACIAN FAMILY CHILD CAREFACILITY NUMBER:
198014901
ADMINISTRATOR:GRACIAN, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 865-6546
CITY:HAWAIIAN GARDENSSTATE: CAZIP CODE:
90716
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 13DATE:
06/13/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:48 PM
MET WITH:Patricia Gracian, LicenseeTIME COMPLETED:
05:30 PM
NARRATIVE
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This report is amended to removed the Civil Penalty Assessed in error due to technicality.

On 6/13/22 Licensing Program Analysts (LPAs) Alicia Mooberry and Austin Estrada conducted POC inspection in Spanish to the above facility. This is a follow up inspection in regards to a previous Annual inspection conducted on 5/6/22. Also present is Maria Teresa Morales, Assistant and Licensee's spouse, Guillermo Andrade. All adults present have obtained a criminal records clearance.

Upon arrival LPAs observed Patricia Gracian, Licensee caring for 13 children (including 11 children who were napping in the living room). File review was conducted and found that 13 out of 13 children are 5 year old and younger, included is an infant age 1.5 years old. LPA Mooberry informed licensee the facility is found to be over the licence capacity. This poses an immediate risk to the health and safety of children in care.



Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

Exit interview was conducted with licensee, Patricia Gracian. Appeal Rights were discussed and a copy provided.
A Notice of Site Visit was provided and needs to be posted for 30 days.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2022
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 is an Amendment of Original Document on 08/23/2022 09:09 AM


Created By: Alicia Mooberry On 06/13/2022 at 04:17 PM
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GRACIAN FAMILY CHILD CARE
FACILITY NUMBER: 198014901

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/14/2022
Section Cited
CCR
102416.5(d)

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A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met: At least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age.
The requirement is not met as evidenced by:
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Per licensee, Child #11 will be disenrolled on this date and will not return after 6/13/22. Licensee will provide a confirmation of disenrollment to LPA email be POC due date
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Based on record reviews and observation, the licensee failed to comply with the above requirement due to Children #1- Child #13 were all under the age of 6 years old. This poses an immediate risk to the health and safety 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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2022


LIC809 (FAS) - (06/04)
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