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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629184
Report Date: 10/24/2024
Date Signed: 10/24/2024 03:52:09 PM

Document Has Been Signed on 10/24/2024 03:52 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:ESTRADA, SHADY FAMILY CHILD CAREFACILITY NUMBER:
376629184
ADMINISTRATOR/
DIRECTOR:		ESTRADA, SHADYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 519-2549
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
10/24/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Shady EstradaTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 10/24/2024 at 2:45pm, an office meeting was conducted to discuss a deficiency cited on 9/13/2024. Present at the meeting was Licensee Representative, Shady Estrada and her husband Isai Estrada; Licensing Program Managers (LPMs) Cynthia Biszant and Jason Garary and Licensing Program Analysts (LPAs) Adrian Castellon, Danielle Anderson and Saul Zazueta.

During a Required - 3 year inspection conducted on 9/13/2024, Licensee advised LPAs Castellon and Anderson that she was not residing in the licensed home. Licensee stated that she had moved next door to the licensed home. Licensee did not advise the licensing office. LPAs observed that both bedrooms in the home were used exclusively for daycare purposes. Licensee did not maintain a bed in the facility.

LPAs conducted a Plan of Correction inspection on 09/25/24 to ensure that licensee had moved back into the licensed home. LPA Anderson inspected licensee's bedroom and the facility bathroom. There was a day bed and night stand located in the bedroom. LPA Anderson checked bathroom and observed personal hygiene items, hair care products, and other personal items. LPA Anderson also inspected bedroom closet and observed adult clothing and shoes.

LPM Biszant and LPA Castellon discussed Title 22 regulation 102352(f)(1) which defines Family Child Care as regularly provided care, protection, and supervision of children, in the care giver's own home for periods of less than 24 hours per day while the parents or guardians are away. LPM and LPA also reviewed Health and Safety Code 1596.78(a) which states "'Family day care home' means a home that regularly provides care, protection, and supervision for 14 or fewer children, in the provider's own home, for periods of less than 24 hours per day, while the parents or guardians are away, and is either a large family day care home or a small family day care home". Licensee was advised if she were to relocate, a change of location application must be submitted. If licensee were to relocate without submitting the application, the license would be considered forfeited per Health & Safety Code 1596.858. Regulation 102416.3 Alterations to Buildings or Grounds was also discussed and provided on this date.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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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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: ESTRADA, SHADY FAMILY CHILD CARE
FACILITY NUMBER: 376629184
VISIT DATE: 10/24/2024
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LPMs Garay and Biszant discussed the Department's expectation to maintain compliance with the applicable rules and regulations for Family Child Care Homes. LPA provided a copy of the regulations to the licensee.

On this date, Licensee was provided form LIC 855 Declaration. Licensee submitted a written statement declaring current address and stated that she understands that she must abide by all Child Care Licensing Regulations.

Licensee was provided with the Title 22 Regulations website: https://cdss.ca.gov/inforesources/letters-regulations/legislation-and-regulations/community-care-licensing-regulations/family-child-care

The Licensee was provided with the following Childcare Advocate information: (714) 703-2800 or [email protected]. Licensee was reminded to report any unusual incident or injury to: [email protected] and the Duty Line 619-767-2248. Please submit your Unusual Incident Report by email to: [email protected] or by Fax at (619) 767-2203.

Licensee was informed that repeated violations or failure to comply with licensing laws and regulations may result in administrative action taken by the Department. Licensee stated she understood and will ensure the facility complies with all regulations and laws governing Family Child Care Homes.

Exit interview conducted and report was reviewed with licensee Shady Estrada. The licensee was provided a copy of this report.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC809 (FAS) - (06/04)
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