<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100434
Report Date: 01/11/2024
Date Signed: 01/11/2024 01:38:33 PM

Document Has Been Signed on 01/11/2024 01:38 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:BARBOSA DE ARAUJO, GABRIELA FAMILY CHILD CAREFACILITY NUMBER:
376100434
ADMINISTRATOR:GABRIELA BARBOSA DE ARAUJOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 366-6894
CITY:CARLSBADSTATE: CAZIP CODE:
92008
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 6DATE:
01/11/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:46 PM
MET WITH:Licensee, Gabriela Barbosa de AraujoTIME COMPLETED:
01:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 1/11/24, an unannounced Case Management-Deficiency inspection was conducted by Licensing Program Analyst (LPA) Saraliz Velando. The purpose of the inspection is to follow up on an unreported incident. Upon arrival, LPA met with licensee, Gabriela Barbosa De Araujo. LPA conducted a tour of the home and observed 6 children in care.

During the incident on 10/11/23, there was a call placed to 911 and an adult resident was arrested. Licensee failed to report the unusual incident that occurred during daycare hours while there were children in care, to the department, as per regulations. Based on the information received by the department, it appears that the licensee did not comply with Title 22 regulation section.

Type B Violation was cited. Refer to the next page LIC 809-D for deficiency citation.



Facility was provided a copy of the appeal rights. The exit interview was conducted, and the report was reviewed with licensee, Gabriela Barbosa De Araujo. A notice of site visit was posted and shall remain for 30 days.
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Saraliz Velando
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2024
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 01/11/2024 01:38 PM - It Cannot Be Edited


Created By: Saraliz Velando On 01/11/2024 at 01:08 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
, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: BARBOSA DE ARAUJO, GABRIELA FAMILY CHILD CARE
FACILITY NUMBER: 376100434

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/11/2024
Section Cited
CCR
102416.2(b)(3)(C)

1
2
3
4
5
6
7
Reporting Requirements- (b)The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home.(3) Health and Safety Code Section 1597.467(b)(1) provides in part: "A report shall be made to the Department…following the occurrence during the operation of a family day care home of any of the following events: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child." This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee submitted an unusual incident report on 10/26/23 and stated she will submit any UIRs within 7 days of occurance and contact the Dept. within 24 hours of occurence. She also stated that if she has doubts, she will call the Duty Line to confirm if a UIR is needed.
8
9
10
11
12
13
14
During the incident on 10/11/23, there was a call placed to 911 and an adult resident was arrested. Licensee failed to report the unusual incident that occurred during daycare hours while there were children in care which posed a potential risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Joelle Redding
LICENSING EVALUATOR NAME:Saraliz Velando
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2