<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334806580
Report Date: 06/13/2024
Date Signed: 06/13/2024 04:59:45 PM

Document Has Been Signed on 06/13/2024 04:59 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:BORJA FAMILY CHILD CAREFACILITY NUMBER:
334806580
ADMINISTRATOR/
DIRECTOR:		BORJA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 398-2667
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
06/13/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:20 PM
MET WITH:Maria BorjaTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On June 13, 2024, Licensing Program Analyst (LPA) Lorena Valenzuela conducted an unannounced inspection at the family child care and met with licensee Maria Borja. The purpose of this inspection is to discuss information received during a review of an incident that occurred at the facility.

On 06/13/2024, at approximately 1:15pm, LPA arrived at the home and observed 10 children, with 2 children being infants under 2 years old, in care with only licensee being present. Confidential interviews revealed the assistant had left the home to take lunch leaving licensee alone with 10 children, and per licensee assistant had taken lunch at approximately 12:45 pm and would return at 1:45 pm.

Based on interviews and observations, the Department finds the facility did not comply with the Staffing and ratio and capacity and is out of ratio at the time of the inspection.

Facility is cited under Title 22, Section 102416.5 (e) Staffing Ratio and Capacity.



A signed copy of this report, Appeal Rights, and was provided to Maria Borja.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 06/13/2024 04:59 PM - It Cannot Be Edited


Created By: Lorena Valenzuela On 06/13/2024 at 04:30 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
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: BORJA FAMILY CHILD CARE
FACILITY NUMBER: 334806580

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2024
Section Cited
CCR
102416.5(e)

1
2
3
4
5
6
7
102416.5 (e) Staffing ratio and capacity. If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
This requirement was not met as evidenced by:
This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee agrees to submit a wriiten plan that will indicate how will ensure licensee is not out of ratio and will submit written statement to the Department on 06/14/2024.
8
9
10
11
12
13
14
Based on interviews and observations, on 06/13/2024, licensee was observed to be be out of ratio with 10 children in care and only licensee at the home. This poses a potential risk to the personal rights, health, and safety of the children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Deborah Mullen
LICENSING EVALUATOR NAME:Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2