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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376621741
Report Date: 10/19/2023
Date Signed: 10/19/2023 11:07:58 AM

Document Has Been Signed on 10/19/2023 11:07 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SALCEDO, BERTHA FAMILY CHILD CAREFACILITY NUMBER:
376621741
ADMINISTRATOR:BERTHA SALCEDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 267-9852
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
10/19/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Bertha SalcedoTIME COMPLETED:
10:40 AM
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On October 19, 2023, at 9:45 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced Plan of Correction/Case Management inspection with the Licensee Bertha Salcedo. LPA advised Licensee Bertha Salcedo of the inspection's purpose and they granted LPA facility entry. Present in the daycare were two (2) daycare children, both 3 years. The Licensee and one (1) helper were also present in the facility during this inspection. Language Link Operators 12973 and 16590 provided Spanish Language translation services.

During this inspection, LPA observed the last notice of site visit provided on the 10/05/2023 inspection was posted on the interior side of the facility's main door. LPA reviewed the files of the enrolled children and observed the LIC 9224 "Acknowledgement of Receipt of Licensing Reports" form, signed by the parents in the children's daycare files.

On 10/05/2023, the Licensee was cited on CCR 102416.5(f) – Staffing Ratio and Capacity. On 10/05/2023, the Licensee was provided with the hard copy of CCR 102416.5(f) and provided with consultation on this code section. The Licensee completed the Department’s online training on capacity and has already provided LPA with written statements describing what they learned from the training video, their understanding of CCR 102416.5(f), acknowledging the need to maintain their legal capacity and the steps they will take to ensure legal capacity is maintained. This deficiency has been cleared.

A notice of site visit was given to the licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the Licensee Bertha Salcedo.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
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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