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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376630515
Report Date: 09/30/2025
Date Signed: 09/30/2025 02:56:27 PM

Document Has Been Signed on 09/30/2025 02:56 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:ANDRADE, ELIZABETH FAMILY CHILD CAREFACILITY NUMBER:
376630515
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
09/30/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Elizabeth AndradeTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 09/30/2025 at 8:30 AM, Licensing Program Analyst (LPA) Oscar Picazo conducted an unannounced case management inspection for the purpose of an increase in capacity with applicant Elizabeth Andrade. Upon arrival, LPA was granted entry and disclosed the purpose the inspection. The purpose of the inspection is to ensure that the home follows standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Applicant's primary language is Spanish. LPA is bilingual in Spanish and is providing translation in Spanish. There were no daycare children present during this inspection. Also present is license's adult daughter, Kamila Andrade. Days and hours of operation are Monday through Friday, 6:00 AM - 6:00 PM.

On 09/22/2025, a fire clearance was granted for 14 children. LPA, accompanied by applicant, toured the indoor and outdoor of the this two (2) story 3 bedroom, 2.5 bathroom home. Applicant utilizes the following areas for childcare: the living room, the day care room, breakfast nook, half bathroom #3, the south side yard, the front yard including the porch, and the north side yard including the driveway which are all fenced and/or gated. Off limit areas include: The kitchen, garage, the stair case leading to and from the second (2nd) floor, the entire second (2nd) floor which encompasses Master bedroom #1 which includes bathroom #1, bedrooms 2, 3 and bathroom #2. Off limit areas are inaccessible to children by use of doorknob covers, child safety gate, and cabinet & drawer locks/interior hooks. The applicant understands that the upstairs cannot be used and must be gated off at the bottom of the stairway when children under five years are present during daycare hours. Applicant will utilize the side and front yards as well as the gated driveway for play and outdoor activities. LPA informed applicant to ensure children are supervised at all times during outdoor activities.


See LIC 809C continuation...
NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Oscar Picazo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ANDRADE, ELIZABETH FAMILY CHILD CARE
FACILITY NUMBER: 376630515
VISIT DATE: 09/30/2025
NARRATIVE
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There are no pools or bodies of water on the property. The fire extinguisher is rated 3-A:40-B:C and is mounted on the wall in the day care room. The smoke and carbon monoxide combo detector was tested, is operational and meets requirements. Poisons, detergents, cleaning compounds, medications and other hazardous items were made inaccessible to children by cabinet latches/locks and/or placed on high surfaces. Applicant has a variety of infant and school age toys, books, play equipment and materials for arts and crafts available. The applicant has a working cell phone. The applicant stated there are no firearms, other weapons, or ammunition in the home. The applicant owns the home and maintains documentation of proof of control of property (Mortg statement) for review by the Department.

LPA provided and discussed the following: report suspected child abuse and neglect, maintain children's records according to regulation, post all required forms, and ensure that all adults residing or working in the home have received background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming safe sleep regulations/SIDS, Lead exposure and shaken baby syndrome. LPA and licensee discussed California megan's law and LPA provided: www.meganslaw.ca.gov. During the exit interview, licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Applicants Mandated Reporter AB1207 training expires 10/02/2026. Applicant has completed the 8 hours of Preventative Health & Safety Practices. Pediatric CPR and First Aid certifications expire on 10/24/2026. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record child abuse clearances or exemptions and have immunization documentation. A sample of children’s files were reviewed and contain immunization documentation and notification of parents’ rights form.

See LIC 809C continuation...

NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Oscar Picazo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: ANDRADE, ELIZABETH FAMILY CHILD CARE
FACILITY NUMBER: 376630515
VISIT DATE: 09/30/2025
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LPA advised that prior to making alterations or additions to the home or grounds, the applicant shall notify the Department of the proposed change. Applicant states she is financially secure to operate a family childcare home for children and will comply with all regulations and laws governing family childcare homes.

Please visit the Guardian web page and set-up your Guardian account. https://cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian. If you have any questions regarding Guardian, please contact CDSS at email: guardian@dss.ca.gov.

LPA discussed and provided licensee with the following childcare advocates e-mail address and phone number: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov. In addition, for general questions or questions regarding licensing requirements contact the childcare licensing duty line at (619) 767-2248.

LPA discussed Incidental Medical Services with applicant. Applicant stated that Incidental medical services are not being provided at this time. For IMS information, see PIN 22-02-CCP. 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) or (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 discussed with Licensee the maximum capacity for a Large Family Child Care home: 12 children (with a qualified assistant) with no more than 4 infants; or (with landlord consent) 14 children (with a qualified assistant) with no more than 3 infants, 1 child enrolled in kindergarten or elementary school and 1 child at least age 6 including children under age 10 who live in the licensee's home. When there is no qualified assistant, 14 years of age or present, the capacity reverts to the requirements for a Small Family Child Care.

There were no deficiencies cited during this inspection.

A copy of the report and appeal rights (LIC 9058) was provided to the Applicant and notice of site visit (LIC9213) was given to Licensee and was advised it must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

A large family childcare home license may be issued upon final file review.

An exit interview was conducted and report was reviewed with the applicant, Elizabeth Andrade. LPA Oscar Picazo provided translation from English to Spanish. Applicant stated she understood.

NAME OF LICENSING PROGRAM MANAGER: Tulam Vu
NAME OF LICENSING PROGRAM ANALYST: Oscar Picazo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
LIC809 (FAS) - (06/04)
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