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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629308
Report Date: 08/24/2023
Date Signed: 08/24/2023 03:45:28 PM

Document Has Been Signed on 08/24/2023 03:45 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:BARBOSA, LIGIA FAMILY CHILD CAREFACILITY NUMBER:
376629308
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
08/24/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Ligia Barbosa and Jasmine Cabrera, TIME COMPLETED:
04:00 PM
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On August 24, 2023, at 2:30 pm, Licensing Program Analyst (LPA), Vicky Williamson conducted an unannounced inspection for the purpose of a plan of correction. LPA met with Licensee, Ligia Barbosa, disclosed the purpose of the inspection and was led on a tour of the facility. Also present was Assistant, Jasmine Cabrera, who aided as a translator due to licensee's primary language is Spanish. There were four (4) daycare children present, two of whom were under 24 months. At 2:58pm, Licensee's spouse Javier Rodriguez arrived to the facility.

The facility was cited four (4) type B citations on August 16, 2023. On August 16, 2023, during the inspection two of the citations were corrected. On August 17, 2023, Licensee submitted a copy of proof of correction for fire/disaster drill to the San Diego Regional Office (SDRO). During the inspection, a review of facility files for licensee and assistant verified that mandated reporter training for licensee and assistant has been completed. LPA reminded licensee to ensure the mandated reporter training is completed once every two years.

The agency received a granted fire clearance approval on August 9, 2023..

LPA advised the Licensee that prior to making alterations or additions to the home or grounds, the Licensee shall notify the Department of the proposed change.



LPA discussed the maximum number of children for whom care shall be provided when there is an assistant provider in the home, including children under age 10 who live in the licensee's home and the assistant provider's children under age 10, shall be either: Twelve (12) children with no more than four of whom may be infants or Fourteen (14) children, with at least two of the children with 1 child enrolled in kindergarten and 1 child at least six years of age and no more than three infants. Licensee maintains control of property.

See LIC 809C Continuation...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2023
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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: BARBOSA, LIGIA FAMILY CHILD CARE
FACILITY NUMBER: 376629308
VISIT DATE: 08/24/2023
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A Large Family Child Care Home license will be issued effective August 24, 2023.

A copy of the report and appeal rights (LIC 9058) was provided to licensee. LPA explained the inspection report to Licensee, Ligia Barbosa and Assistant, Jasmine Cabrea who translated the report in Spanish to licensee. Licensee stated she understood. A notice of site visit (LIC9213) was provided to Licensee, Ligia Barbosa, and must remain posted for 30 days.

An exit interview was conducted, with the Licensee, Ligia Barbosa and Assistant, Jasmine Cabrea.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC809 (FAS) - (06/04)
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