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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846168
Report Date: 02/25/2025
Date Signed: 02/25/2025 11:39:26 AM

Document Has Been Signed on 02/25/2025 11:39 AM - 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:GUTIERREZ FAMILY CHILD CAREFACILITY NUMBER:
334846168
ADMINISTRATOR/
DIRECTOR:		GUTIERREZ, ROSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 227-2506
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY: 14TOTAL ENROLLED CHILDREN: 15CENSUS: 6DATE:
02/25/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:50 AM
MET WITH:Licensees Rosa GutierrezTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 02/25/2025 at 7:50 AM Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct an annual inspection. LPA was greeted by Licensees Rosa Gutierrez and granted entry to tour the facility inside and out. LPA reviewed records and observed and/or discussed the following: Present were the licensees R. Gutierrez, Roman Gomez, 1 adult resident, 1 staff and 1 other adult. The licensee is no longer providing Incidental Medical Services (IMS) and requested the change be documented during today's report. The licensee updated the LIC279 Application form, the LIC999A Home & Yard Sketches. The licensee agrees to submit an updated LIC610A Emergency Disaster plan with changes.

Normal days and hours of operation: Monday – Friday 7:30 AM to 6:30 PM
OFF-LIMIT AREAS INCLUDE: Garage, Master bedroom/bath 1; Bedrooms 2, 3, 4, the East & West Side yards.

The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains.
· The facility is operating within the licensed capacity and appropriate ratios.
· The Licensee is present in the home and has ensured that children in care are supervised. LPA took a census of 6 children in care.
· When temporarily absent from the home, the Licensees shall arrange for a substitute adult to care for and supervise children.
· A working telephone is present.
· A fully charged fire extinguisher (2A:10BC) was observed and tagged by the fire department and needle in the green. A smoke detector and carbon monoxide detector were present and tested by the licensee during this inspection. Verified to be working.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/25/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GUTIERREZ FAMILY CHILD CARE
FACILITY NUMBER: 334846168
VISIT DATE: 02/25/2025
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· All hazardous items ARE NOT inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children. The LPA observed supplements, prescription and over the counter medications, accessible in the kitchen refrigerator and upper kitchen cabinet. No children were observed in the kitchen at the time of the inspection. In addition, the LPA observed several kitchen knives accessible and stored in a lower kitchen drawer, with only a latch. No children were observed in the kitchen at the time of the inspection. The licensee moved the knives to a locked drawer and made all medications inaccessible in the presence of the LPA.
· Storage of poisons ARE NOT inaccessible to children and ARE NOT locked as indicated above.
· This is a single-story home
· The fireplace is properly screened.
· No guns or weapons present as stated by the Licensees. Licensees Rosa Gutierrez and Roman Gomez understand all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 regulations.
· Home is clean and orderly, with heating and ventilation for safety and comfort.
· Clean, Safe and age-appropriate toys and equipment are present for both indoor and outdoor activities. However, during today's inspection Licensing Program Analyst (LPA) Susan Brewer, observed a blanket in the play yard. The licensee Rosa Gutierrez stated the housekeeper placed the blanket in the playyard while cleaning. No infant children were observed napping during the inspection. The licensee Rosa Gutierrez removed the blanket in the presence of the LPA.
· Outdoor play areas are fenced and/ or appropriate supervision is present.
· Verification of control of property on file by rental agreement.
· Property owner/landlord notification and consent on file.
· Pediatric CPR and First Aid training complete; Cards expire: Rosa G. on 10/2025 & Roman G on 11/2025.
· Health, Safety, Nutrition & Lead Certificate completed on Rosa G. 11/18/2021 and Roman G. 09/29/2023.
· Mandated reporter General & AB 1207 Childcare certificates Expire on 01/31/2026 for both licensees.
· Fire clearance: 04/05/2024
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 10/03/2024, with 12 children in care, began at 9:30 AM to 10:00 AM
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GUTIERREZ FAMILY CHILD CARE
FACILITY NUMBER: 334846168
VISIT DATE: 02/25/2025
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· There are no bodies of water, 02/25/2025. Licensees Rosa Gutierrez and Roman Gomez, understand all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Children’s files are complete on today’s date.
· Staff’s files are Incomplete complete on today’s date.
· A review of staff records on 02/25/2025 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

For IMS information, see PIN 22-02-CCP. A Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensees Rosa Gutierrez and Roman Gomez, were reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA Susan Brewer, discussed the safe sleep regulations with Licensees Rosa Gutierrez and Roman Gomez and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GUTIERREZ FAMILY CHILD CARE
FACILITY NUMBER: 334846168
VISIT DATE: 02/25/2025
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LPA also informed Licensees Rosa Gutierrez and Roman Gomez, of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience.

If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

No deficiency was issued on today’s date.

No civil penalties issued on today’s date.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensees Rosa Gutierrez and Roman Gomez.

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC809 (FAS) - (06/04)
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