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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376617458
Report Date: 10/10/2022
Date Signed: 10/10/2022 04:56:13 PM

Document Has Been Signed on 10/10/2022 04:56 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:TORRES-HERNANDEZ, IRMA FAMILY CHILD CAREFACILITY NUMBER:
376617458
ADMINISTRATOR:IRMA TORRES-HERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 583-2024
CITY:SAN DIEGOSTATE: CAZIP CODE:
92115
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
10/10/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Irma Torres-HernandezTIME COMPLETED:
04:53 PM
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On 10/10/2022 at 4pm. Licensing Program Manager (LPM), Renesha Askew, Licensing Program Analyst (LPAs), Tyra Block and Saraliz Velando (Spanish Translator), and Licensee, Irma Torres-Hernandez met virtually via MS Teams. Licensee's adult daughter was also present, Carolina Leano. The purpose of the meeting is to discuss Licensee’s recent citation history.

During the 8/23/22 Complaint visit Licensee received the following citations:

· 102417(g) Operation of a Family Child Care Home: Facility had a clogged sink in the bathroom, items scattered on the floor causing tripping hazards, roach baits accessible to children, unknown blue substance along baseboards in the bathroom, roaches, and a broken door window.

· 102417(b) Operation of a Family Child Care Home: Home was not clean and orderly with piles of clothes and papers throughout home, dirty diapers on the floor, old food and dead roaches in the refrigerator, trash and old bread in the play area outdoors, toys scattered, and an old lime which was picked up by a child outside.

A Technical Support Program (TSP) referral has been submitted today, 10/10/22, on Licensee’s behalf and a copy of the TSP handout provided.

Licensee was also provided a copy of the Title 22 regulation CCR Section 102417. Department also provided Licensee with the Compliance and Regulatory Enforcement (CARE) Tools website: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/inspection-process-project/care-tools to review the Child Care Standard tool used by LPAs when conducting inspections in licensed facilities and the CDSS Child Care Licensing (CCL) Family Child Care Providers Resource link with instructional videos: https://ccld.childcarevideos.org/family-child-care-providers/. It is recommended for Ms. Torres-Hernandez to review the following videos including, but not limited to : Children’s Personal Rights in Childcare and Supervising Children in Family Child Care, Locks & Inaccessibility Requirements in Child Care.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2022
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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: TORRES-HERNANDEZ, IRMA FAMILY CHILD CARE
FACILITY NUMBER: 376617458
VISIT DATE: 10/10/2022
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 Licensee states she understands that she needs to abide by Health and Safety Code and Title 22 Regulations in the operation of her Family Child Care Home.

Licensee was advised to regularly visit the Community Care Licensing WEB SITE: www.ccld.ca.gov for quarterly updates, regulations, and licensing forms. Licensee stated she is signed up to receive the PIN's. During meeting licensee was provided the Duty Line: 619-767-2248, available Monday thru Friday 8a-5pm.

Ms. Torres-Hernandez was emailed a copy of this report and above discussed documents. Ms. Torres-Hernandez's reply to the email is considered confirmation of receipt. Ms. Torres-Hernandez is to print, sign and return a copy of this report once received.

Licensee stated she will be submitting a change of location application. Change of location handout and application link provided.

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Tyra Block
LICENSING EVALUATOR SIGNATURE:

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

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