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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364818290
Report Date: 10/19/2022
Date Signed: 10/19/2022 03:22:40 PM

Document Has Been Signed on 10/19/2022 03:22 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:LINDO FAMILY CHILD CAREFACILITY NUMBER:
364818290
ADMINISTRATOR:LINDO, DIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 258-3416
CITY:RIALTOSTATE: CAZIP CODE:
92377
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/19/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Licensee, Diana LindoTIME COMPLETED:
03:30 PM
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On 10/19/2022, an Informal Conference was held at the Riverside Regional Office. Present in the conference were Licensee, Diana Lindo; Licensing Program Manager (LPM) Kimberly Williams; and Licensing Program Analysts (LPAs) Destinee Hogue and Perla Ordones.

The conference was held to discuss the following sections of Title 22 Regulations and Health and Safety Code:
1) 102417 - Operation of a Family Child Care Home
2) 102424 - Smoking Prohibition
3) 102425 - Infant Safe Sleep
4) H&S 1597.622 - Staff Immunization
5) 102418 - Children Immunization Records
6) 102416.1 - Personnel Records
7) 102416.3 - Alterations to Buildings or Grounds
8) 102416.2 - Reporting Requirements
9) 102426 - Overnight Care

Facility's non-compliance history was reviewed during the conference. Licensee agrees to submit a written plan detailing supervision related to Case Management inspection conducted on 03/03/2022 and 09/29/2022 regarding self-reported incident. Written plan due by 10/28/2022

Licensee also agrees to submit the following by 10/24/2022: TB Clearance for Adult Resident #6; updated facility sketch to include studio room; updated LIC610A-Emergency Disaster Plan; 15-minute Infant Sleep Check log; LIC9227-Individual Infant Sleeping Plan; Immunizations for C#1-C#3 documented on CDPH286
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Destinee Hogue
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: LINDO FAMILY CHILD CARE
FACILITY NUMBER: 364818290
VISIT DATE: 10/19/2022
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During today's conference, the following documents were discussed and provided to Licensee: Title 22 Regulations and Health & Safety code identified above and amended LIC809D-Annual;

Technical Support Program (TSP) was discussed and information related to TSP was provided to Licensee. Licensee has an option to enroll in TSP. If Licensee agrees to enroll in TSP, she agrees to notify the Department within 30 days of this report.

Licensee was advised to visit the Department's website at: https://cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers on a regular basis for licensing updates. Licensee was advised to review Family Child Care Provider videos related to: Child Care Reporting Requirements; Supervising Children in Family Child Care; Locks and Inaccessibility Requirements in Child Care; Record Keeping in Family Child Care. Child Care Provider video website link was provided to the Licensee during this conference.

During this conference, contact information of the local Resource and Referral Agency, Child Care Resource Center (CCRC) at (909) 890-0018, was provided to Licensee. Licensee agrees to ensure that the facility is operating in substantial compliance of California Code of Regulations Title 22, Division 12.

An exit interview was conducted Licensee, Diana Lindo.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Destinee Hogue
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022
LIC809 (FAS) - (06/04)
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