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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841249
Report Date: 08/30/2023
Date Signed: 08/30/2023 03:26:42 PM

Document Has Been Signed on 08/30/2023 03:26 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
334841249
ADMINISTRATOR:GARCIA, CLAUDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 398-7510
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY: 14TOTAL ENROLLED CHILDREN: 21CENSUS: 10DATE:
08/30/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Claudia Garcia TIME COMPLETED:
03:40 PM
NARRATIVE
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On 08/30/2023, Licensing Program Analyst (LPA) Lorena Valenzuela conducted a case management visit is being conducted in response to information received by the Department.

On 08/23/2023, licensee Claudia Garcia was observed with 10 children at a business/store located outside the facility. LPA Valenzuela observed licensee without an additional assistant present in the store or in the vehicle being used for transportation . During the inspection, facility records were reviewed and licensee was interviewed. Per interview and records review, one child was the licensee's child and is over 10 years old.

During the visit, at 2:06pm, LPA Valenzuela conducted an inspection of the home and observed three children (infants) sleeping on an portable baby swing . Licensee states at this time she does not have a crib or play yard for the three children in care.

Based on the information gathered, interviews, and records, the following violations have been identified:

The facility is being cited under Title 22, Section 102416.5 (e) Staffing Ratio and Capacity.
The facility is also being cited under Title 22, Section 102425 (a) Infant Safe Sleep.

See LIC809D for cited deficiencies of the California Code of Regulations.

An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to Claudia Garcia.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2023
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 08/30/2023 03:26 PM - It Cannot Be Edited


Created By: Lorena Valenzuela On 08/30/2023 at 02:45 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: GARCIA FAMILY CHILD CARE

FACILITY NUMBER: 334841249

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/04/2023
Section Cited
CCR
102416.5(e)

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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:
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Licensee agrees to submit written plan of correction on how she will ensure stays within staffing ratio at all times, in addition when transporting children outside of the facility.
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Based on observation and interview, the licensee did not ensure the facility was within staffing ratio due to on 08/23/2023 licensee was observed with 9 children in care without an additional assistant.
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Licensee agrees to purchase one crib or play yard for infants in care who are unable to climb out of the crib or play yard and will submit proof to the Department on or before 09/04/2023.
Type B
09/04/2023
Section Cited
CCR102425(a)

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102425 (a) Infant Safe Sleep There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard.
This requirement was not met as evidence by:
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Based on observation and interview, the licensee did not ensure three children (infants) were sleeping on a crib or play yard, due to LPA observed children sleeping on indoor baby swings.
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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:Deborah Mullen
LICENSING EVALUATOR NAME:Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2023


LIC809 (FAS) - (06/04)
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