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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629077
Report Date: 03/25/2021
Date Signed: 03/25/2021 02:16:26 PM

Document Has Been Signed on 03/25/2021 02:16 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:FLORES DE CORONA, HILDA FAMILY CHILD CAREFACILITY NUMBER:
376629077
ADMINISTRATOR:HILDA FLORES DE CORONAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 658-3339
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/25/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Hilda Flores de CoronaTIME COMPLETED:
11:30 AM
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 03/25/2021 at 10:00am, Licensing Program Analyst (LPA) Adrian Castellon conducted an announced Pre-Licensing virtual inspection with applicant Hilda Flores de Corona. Also present was the applicant's adult daughter, Silvia. Due to COVID-19 state of emergency, in person inspections are not allowed at this time. Applicant has maintained a license for 16 years and recently relocated. This inspection was completed via video conferencing (facetime). Applicant's 3 bedroom, 3 bathroom home was virtually toured and inspected to ensure an environment safe for the care and supervision of children. Applicant rents the home and will submit proof. Applicant states she will use the following areas for childcare: living room, kitchen/dining area, daycare room and hallway bathroom. A fully fenced back yard will be used for outdoor play. Off limits areas include all bedrooms and 2 other bathrooms. Garage is off limits. There are no bodies of water observed during time of tele inspection. The fire extinguisher, smoke detector and carbon monoxide detector meet requirements and are operational. All poisons, cleaners and hazardous items in the home are inaccessible to children through latches, locks, and/or placed up on high surfaces. Children’s toys and play equipment are available. Applicant states that there are no firearms is maintained in the home. Licensee has completed the 8 hours of preventative health. Required documents to be posted were discussed. Applicant states she and her daughter are the only adults residing in the home and has been cleared for criminal record and child abuse index clearances. Applicant was advised that any new/additional adults must be cleared prior to working or residing in home. Any minor upon his/her 18th birthday must be fingerprinted within 30 days. See 809-C for continuation...
SUPERVISORS NAME: Joe Carrasco
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 03/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/25/2021
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
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: FLORES DE CORONA, HILDA FAMILY CHILD CARE
FACILITY NUMBER: 376629077
VISIT DATE: 03/25/2021
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
26
27
28
29
30
31
32
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. LPA and applicant discussed California Megan's Law and he provided applicant with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis.

The new provider packet was reviewed with the applicant including information on child abuse reporting, children’s records, immunizations, adults living or working in the home, shaken baby syndrome, SIDS, and the YMCA Resource Center. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, jumpers and bouncy seats are not allowed in day care.

A license for 14 may be granted after a final file review. Care Licensing web site: http://ccld.ca.gov
SUPERVISORS NAME: Joe Carrasco
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2