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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845530
Report Date: 02/20/2025
Date Signed: 02/20/2025 11:33:09 AM

Document Has Been Signed on 02/20/2025 11:33 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:TALAVERA FAMILY CHILD CAREFACILITY NUMBER:
364845530
ADMINISTRATOR/
DIRECTOR:		TALAVERA, ELSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 330-8734
CITY:RANCHO CUCUMONGASTATE: CAZIP CODE:
91730
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 9DATE:
02/20/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:31 AM
MET WITH:Elsa TaleveraTIME VISIT/
INSPECTION COMPLETED:
11:51 AM
NARRATIVE
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On 2/20/25 during a complaint investigation Licensing Program Analyst (LPA) Patricia Berry observed 9 children in care with licensee, only without an assistant. Upon LPA's arrival LPA observed the assistant arriving at the same time. LPA took a census and there were 9 children already in care with the last child arriving at 8:14 am. The facility was over capacity today.

Deficiency cited today.

See 809D for deficiency.

An exit interview was conducted with licensee. During the exit interview, appeal rights were discussed/provided, Notice of Site form and LIC 9224 Acknowledgment of Receipt, and a copy of this report was provided.

LPA informed licensee, that Type A citation must be reported to all authorized representatives/guardians of all children currently enrolled by the next business day, or the next day children are in care, and all newly enrolled children for the next 12 months from the date of citation. The signed Acknowledgement of Receipt LIC 9224, must be placed in child’s file for verification.



Notice of Site visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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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Document Has Been Signed on 02/20/2025 11:33 AM - It Cannot Be Edited


Created By: Patricia Berry On 02/20/2025 at 10:52 AM
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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: TALAVERA FAMILY CHILD CARE
FACILITY NUMBER: 364845530

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/21/2025
Section Cited
CCR
102416.5(e)

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Staffing Ratio and Capacity (e) If no assistant provider is present at a Large Family Child Care Home,... licensee shall comply with the capacity requirements for a Small Family Child Care ...
This requirement was not met as evidenced by
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Licensee stated she will send a written statement of acknowledgment, understanding and compliance of regulation and will submit the written statement to CCL by 2/21/25.
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Based on LPA's own observation of the census LPA observed 9 children in care with the licensee, only, no assistant was present.

This is an immediate health and safety risk to the children in care.
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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:Gilbert Sena
LICENSING EVALUATOR NAME:Patricia Berry
LICENSING EVALUATOR SIGNATURE:
DATE: 02/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/20/2025


LIC809 (FAS) - (06/04)
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