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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843618
Report Date: 07/14/2022
Date Signed: 07/14/2022 09:49:14 AM

Document Has Been Signed on 07/14/2022 09:49 AM - 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ALIPIO & GLORIA FAMILY CHILD CARE HOMEFACILITY NUMBER:
334843618
ADMINISTRATOR:ALIPIO,GLORIA/GLORIA ZAIDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 302-8802
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 6DATE:
07/14/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
07:28 AM
MET WITH:Licensees Gloria Alipio, Zaida GloriaTIME COMPLETED:
09:55 AM
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On 7/14/2022 at Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility unannounced for the purpose of clearing a pending Plan of Correction issued on 06/28/2022 during an annual inspection. LPA was greeted by Licensee Gloria Alipio, and granted entry into the home. The LPA was also greeted by Zaida Gloria and conducted a COVID-19 pre-screening and no concerns at this time. LPA took a census of 2 children in care at 7:30 AM, 2 additional children arrived at 8:30 AM, 1 additional child arrived at 8:45 AM; 1 additional child arrived at 8:51 AM, a total census was 6 children in care and supervised by the Licensee Gloria Alipio and Staff 1.

The following POCs were cleared for the following deficiencies during this inspection:
1. 102417(g)(7) Operation of a Family Child Care Home - An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

2. 102416.5 (d) Staffing Ratio and Capacity - For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or
(2) More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met.
A notice of site visit was given and must remain posted for 30 days.

LPA S.Brewer, conducted an exit interview to review the report and a copy was provided to Licensee Zaida Gloria


Appeal rights discussed and a copy of this report was provided to the licensee on this date.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2022
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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