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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136610081
Report Date: 02/22/2024
Date Signed: 03/26/2024 02:54:13 PM


Document Has Been Signed on 03/26/2024 02:54 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 03/12/2024 01:26 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

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This is an amended version of the original report created on 2/22/2024.

On 2/22/2024 at 2:00 PM Licensing Program Analysts (LPA), Thien Dinh conducted an unannounced, licensee initiated case management visit in response to update areas for daycare use. LPA Dinh met with daycare assistant, Blanca De La Rosa, and informed her of the purpose of the visit. There were 7 children and 1 assistant present at the time of this visit.

LPA Dinh reviewed the file for Blanca De La Rosa and all requirements are met. Per the licensee's request, a parent (P1) provided translation during the inspection.

The licensee, Rose Cano, arrived at 2:35 PM with 1 child that she picked up from school. The licensee accompanied LPA on a tour of the new daycare area, as shown on the updated facility sketch. The daycare area is a large room in the back of the house attached to the home. The daycare area is free from defects or conditions which might endanger a child. The new daycare area is kept clean, orderly, with heating and ventilation. There are safe toys, play equipment and materials for children. LPA Dinh observed detergents, cleaning compounds, medicines, sharp objects, and hazardous items that can pose a danger to children are inaccessible to children through latches, locks, and/or placed up on high surfaces. The applicant was advised that any poisons must be locked with a key or combination lock. The applicant stated that there are no weapons or firearms on the premises.

LPA did not observe any hazardous items in the new daycare area. The new daycare area can be used effectively as of today 2/22/2024.

No deficiencies cited.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Thien Vu DinhTELEPHONE: 619-767-2215
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024
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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CANO, ROSE FAMILY CHILD CARE
FACILITY NUMBER: 136610081
VISIT DATE: 02/22/2024
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Licensee submitted an updated application LIC279, written statement of request, and facility sketch LIC999. Fire Clearance has been approved on 2/14/2024. The pull down fire alarm is installed in the new daycare room. Carbon Monoxide and Smoke Detector are operable located on top of the bathroom in the new daycare room.

Exit interview conducted and report was reviewed with the licensee, Rose Cano. Appeal Rights were provided.



A notice of site visit was given to the licensee, Rose Cano, and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Thien Vu DinhTELEPHONE: 619-767-2215
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024
LIC809 (FAS) - (06/04)
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