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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845901
Report Date: 07/07/2021
Date Signed: 07/07/2021 08:43:15 AM

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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:DAVIS FAMILY CHILD CAREFACILITY NUMBER:
334845901
ADMINISTRATOR:DAVIS,TIKECIA & COREYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 533-2617
CITY:CORONASTATE: CAZIP CODE:
92883
CAPACITY:14CENSUS: 5DATE:
07/07/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Tikecia and Corey Davis LicenseesTIME COMPLETED:
08:50 AM
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On date 07/07/21 at 8:15 am Licensing Program Analyst (LPA) Giselle Carbullido, conducted a case management visit to ensure the compliance of inaccessibility to a water feature. LPA was greeted by Licensees, Tikecia and Corey Davis and allowed entry into the facility. An inspection of the water feature (fish pond) located in the backyard area was conducted.

At 8:20 am LPA observed fish pond is drained of all water and has a drain that prevents any water build up. LPA observed some rocks and storage tub inside pond area. At 8:25am LPA observed the backyard is now separated into two areas by a 55 foot metal 5 foot rod and mesh fence - one side for daycare play yard and the other for personal use. Licensee ensures regular maintenance of fence and supervision of children in care during outside play. During today's visit, LPA observed that water is no longer present and the pond structure is inaccessible to children in care. Additionally, LPA received written statements prior to today’s visit from Licensee stating that the water feature will not be used with water and eventually be used with plants and rocks. Licensee also submitted new facility sketch noting backyard area with water feature is now off limits.

Based on review and direct observation of backyard areas, there are no deficiencies being cited . Corey and Tikecia Davis, Licensees are following Title 22 Regulations for CCR 102417(g)(5). An exit interview was conducted, and a copy of this report and notice of site visit was provided to Licensees.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
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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