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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627783
Report Date: 04/25/2023
Date Signed: 04/25/2023 05:49:34 PM

Document Has Been Signed on 04/25/2023 05:49 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:SANTOS, ILSE FAMILY CHILD CAREFACILITY NUMBER:
376627783
ADMINISTRATOR:ILSE SANTOSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 874-9327
CITY:CHULA VISTASTATE: CAZIP CODE:
91913
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
04/25/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:03 PM
MET WITH:Andrea Esparza TIME COMPLETED:
03:30 PM
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 4/25/23 at 2:03pm, Licensing Program Analyst (LPA), Martha Malane conducted an unannounced case management - deficiency inspection. Upon arrival, LPA met with Licensee’s helper, Andrea Esparza and discussed the purpose of the inspection and was led on a tour of the facility. There were nine (9) children in care, all of whom were sleeping, at the time of the inspection.

The facility was found to be operating over capacity as there were nine (9) children and only one helper in the home. At 2:30pm, an additional helper, Carolina Rivera arrived at the facility.

During today's inspection the licensee was cited one Type A deficiency for a repeat of the same violation that occurred on 4/10/23; see LIC809D and civil penalties assessed.

LPA informed licensee’s helper, Andrea Esparza that this report dated 4/25/23 documents one (1) Type A citation on the attached LIC809-D, which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed licensee’s helper to provide a copy of this licensing report dated 4/25/23 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted with licensee’s helper, Andrea Esparza. A notice of site visit was provided and must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2023
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
Document Has Been Signed on 04/25/2023 05:49 PM - It Cannot Be Edited


Created By: Martha Malane On 04/25/2023 at 02:44 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: SANTOS, ILSE FAMILY CHILD CARE
FACILITY NUMBER: 376627783

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
04/26/2023
Section Cited
CCR
102416.5(a)

1
2
3
4
5
6
7
102416.5(a) Staffing ratio and capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee’s helper stated she will ensure a plan that outlines the times and dates daycare children will be present in the facility and a staff schedule to include breaks is submitted to the SDRO by 4/26/23 to ensure the licensee does not operate over capacity in the future.
8
9
10
11
12
13
14
Based on observation and interview, the licensee did not comply with the section cited above in there were nine (9) children with one (1) helper which poses an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Tulam Vu
LICENSING EVALUATOR NAME:Martha Malane
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2