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Home › CA › San Rafael › Torres, Ana Aracely
San Rafael CA 94901 · License #214005423 · Home-based · Family Day Care Home
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
102417(g)(7) · Operation of A Family Child Care Home (7) 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.
Deficient Practice Statement Based on interview and record review, the licensee did not have the form, LIC 627, in the child's file, which poses a potential health, safety or personal rights risk to children in care. POC Due Date: 11/07/2022
Open Not marked corrected in the state record
Generated from this facility's specific inspection record
Data synced from California DSS, Community Care Licensing Division on Jul 8, 2026 · Source records · Report an error
Category: ratio. Open / not marked corrected.
102418(g) · Immunizations (g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.
Deficient Practice Statement Based on interview and record review, the licensee did not have immunization records in the child's file, which poses a potential health, safety or personal rights risk to children in care. POC Due Date: 11/07/2022
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
102419(d)(1) · Admission Procedures and Authorized Representatives Rights (d) At the time of acceptance of each child into care, the licensee shall provide the child's parent or authorized representative with a copy of the notice Family Child Care Home Notification of Parent's Rights, LIC 995A (8/06), the Caregiver Background Check Process, LIC 995E (6/05), and the Family child Care Consumer Awareness Information, LIC 9212 (10/05). (1) The licensee shall request the child's parent or authorized representative to sign and date the bottom portion of the notice form LIC 995A (8/06), which acknowledges that the parent or authorized representative has received and read the LIC 995A. The bottom portion of this form must be kept in the child’s file as proof that the parent or authorized representative has been notified of his or her rights and received a copy of the Caregiver background Check Process, LIC 995E (6/05), and the Family Child Care Consumer Awareness Information, LIC 9212 (10/05).
Deficient Practice Statement Based on interview and record review, the licensee did not have the form, LIC 995A, in the child's file, which poses a potential health, safety or personal rights risk to children in care. POC Due Date: 11/07/2022
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.
102417(m)(3) · (3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.
Deficient Practice Statement Based o interview and record review, the licensee did not have the form, LIC 282, in the child's file, which poses a potential health, safety or personal rights risk to children in care. POC Due Date: 11/07/2022
Open Not marked corrected in the state record
Category: health medication. Open / not marked corrected.