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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 354415630
Report Date: 01/08/2025
Date Signed: 10/20/2025 11:40:07 AM

Document Has Been Signed on 10/20/2025 11:40 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ABREGO, GRISELDAFACILITY NUMBER:
354415630
ADMINISTRATOR/
DIRECTOR:
GRISELDA ABREGOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 588-7250
CITY:HOLLISTERSTATE: CAZIP CODE:
95023
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 0DATE:
01/08/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:31 PM
MET WITH:Griselda AbregoTIME VISIT/
INSPECTION COMPLETED:
03:32 PM
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Licensing Program Analysts (LPAs) Pedro Solorio and Elizabeth Larios met with Licensee Griselda Abrego for an annual/random visit. LPAs disclosed the purpose of today’s inspection. Present were Licensee Griselda Abrego and 0 day care children. Days and hours of Operation are Monday to Friday, 05:00am to 05:00pm. The adults that reside in the home are licensee Griselda Abrego, Eulalio Abrego (Spouse), Isidro Abrego (Son), Evelyn Abrego (Daughter), Jasmin Estrada (Daughter-in-law), Jesus Estradaalmaraz (son).

A review of staff records on 01/08/2025 indicated that all facility staff or individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee Griselda Abrego was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPAs inspected the indoor and outdoor areas during this inspection. The facility is a 4 bedrooms, 3 bathrooms, two stories home. LPAs observed a barricaded fireplace in the home. LPAs did not observe bodies of water. There is fencing/ are walls in the backyard. LPAs observed that the home is clean and orderly, with heating and ventilation for safety of children. LPAs observed safe and sufficient materials, toys, and play equipment for the day care children. All sharp objects, detergents, cleaning compounds, medications, poisons, and other similar items inside the residency are stored and inaccessible to children. LPAs observed a fully charged 3A40BC fire extinguisher and a working combo smoke and carbon monoxide detector. Licensee states that there are no weapons/firearms in the home. Off limit areas indoor: 2nd floor (Barricaded stairway to go up). Off limits outdoor: Storage area – opposite side of emergency exit. Licensee states that are no animals in the home.
NAME OF LICENSING PROGRAM MANAGER: Joel Segura
NAME OF LICENSING PROGRAM ANALYST: Pedro Solorio-Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/08/2025
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ABREGO, GRISELDA
FACILITY NUMBER: 354415630
VISIT DATE: 01/08/2025
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LPAs observed licensee has a current CPR and First Aid Certification expiring 1/25/2025 and Mandated Reporter training expires on 1/21/2025. LPA did observe a current children roster. LPA observed a Fire/Disaster drill log during today’s visit that was conducted on 12/3/2024. LPA reviewed 5 Childrens’ files and observed all required documents. No IMS is administered by the Facility.

Supervision of children was discussed and understood that licensee must be present in the home during day care hours and ensure that the children are supervised at all times. Licensee understands the capacity. Licensee understands that if children are transported via vehicle, children cannot be left in parked vehicles unattended at any time.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.
NAME OF LICENSING PROGRAM MANAGER: Joel Segura
NAME OF LICENSING PROGRAM ANALYST: Pedro Solorio-Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ABREGO, GRISELDA
FACILITY NUMBER: 354415630
VISIT DATE: 01/08/2025
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, 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: https://www.ada.gov/resources/child-care-centers/.


Licensee Griselda Abrego was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the LICENSEE GRISELDA ABREGO, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee Griselda Abrego.
NAME OF LICENSING PROGRAM MANAGER: Joel Segura
NAME OF LICENSING PROGRAM ANALYST: Pedro Solorio-Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025
LIC809 (FAS) - (06/04)
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