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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304313638
Report Date: 01/19/2022
Date Signed: 01/19/2022 03:55:28 PM

Document Has Been Signed on 01/19/2022 03:55 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CASTILLO, GLORIAFACILITY NUMBER:
304313638
ADMINISTRATOR:CASTILLO, GLORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 737-4569
CITY:ANAHEIMSTATE: CAZIP CODE:
92805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
01/19/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Gloria Castillo - LicenseeTIME COMPLETED:
04:30 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
Licensing Program Analyst (LPA) Carmen Odom conducted an unannounced case management inspection regarding a self reported unusual incident that was reported to the department on 09/25/21. Upon arrival LPA Odom met with Licensee Gloria Castillo. At 3:40pm, LPA Odom observed a total of 2 preschool age children and 1 school age children present in the day care area playing with one assistant, Paula Perdomo. A review of the Facility Personnel Report Summary on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 09/25/21 the facility self-reported that on 09/22/2021 at 4:36pm Child #3 (C3) was crying and not wanting to eat, asking for mom. Licensee (S1) informed Parent#1 (P1) via text message that C3 was crying and not wanting to eat. P1 asked S1 to speak with C3 over the phone, S1 called P1 via Facetime and C3 spoke with P1 via facetime. During the phone conversation with P1 while at the childcare C3 told P1 that S1 is hitting C3 while in care.

During the course of the investigation, LPA reviewed incident report, children’s roster, interviewed 3 staff members, 2 children, and 3 parents. At the time of the incident there were 2 witnesses present when C3 told P1 that S1 was hitting C3 while in care. Child #1 (C1) stated, the last day C3 was at the childcare C3 was on the phone talking to P1 and C3 told P1 that S1 was hitting C3, but that never happened C3 lied. C1 stated, C3 lied because he wanted to go home with mom. Child #2 (C2) stated, C3 told P1 that S1 spanked him, but that was a lie, don’t know why C3 lied. Both children disclosed S1 and assistants don’t yell or hit the children in care. LPA Odom attempted to interview four parents, but only three parents were interviewed, all the parents disclosed that they are satisfied with the childcare and do not have any concerns.

Continue to page 2.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2022
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: CASTILLO, GLORIA
FACILITY NUMBER: 304313638
VISIT DATE: 01/19/2022
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
Page 2

The information obtained collaborated with the information reported by the Licensee. Statements made by witnesses indicate that S1 did not hit C3. Reporting requirement were met. Based on LPA observations, interviews which were conducted, and records/documentation reviewed, there is no evidence to support any violation of Title 22 regulations. No Title 22 deficiencies cited during today's inspection.

Exit interview conducted with Licensee Gloria Castillo in Spanish. A copy of the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Licensee’s signature on this form acknowledges receipt of the report (LIC 809). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2