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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100140
Report Date: 01/02/2020
Date Signed: 01/02/2020 03:52:30 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:KELLEY, SUSAN FAMILY CHILD CAREFACILITY NUMBER:
376100140
ADMINISTRATOR:SUSAN KELLEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 533-9134
CITY:SAN MARCOSSTATE: CAZIP CODE:
92078
CAPACITY:14CENSUS: 0DATE:
01/02/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Susan KelleyTIME COMPLETED:
04:00 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
An announced follow-up pre-licensing inspection was conducted today by Licensing Program Analyst (LPA) Leilani Curtis. The purpose of this inspection is to ensure that the correction discussed during the initial pre-licensing inspection dated, 11/21/2019 has been met. Upon arrival, LPA met with Applicant, Susan and proceeded to tour the facility. Also present was the Applicant's father John Begnaud. The following correction has been completed:

· All facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. The Applicant’s husband William Kelley is now cleared and associated to the facility.

Applicant Susan Kelly has provided LPA with a signed declaration stating that the B.B. gun referenced in the initial pre-licensing inspection dated 11/21/19 is no longer on the premises. Per Applicant the gun was returned to her son who lives in San Diego. LPA advised the Applicant of firearm/weapon requirements per Chapter 3, Division 12, Title 22 of the California Code of Regulations: 102417(g)(4)(A) and 102417(g)(4)(C). The Applicant submitted an updated application requesting that she be licensed for a large family child care home. A fire clearance was granted on 12/10/19. The single stall garage conversion was approved for use as an art room. The Applicant is to obtain a City Business License and/or Directors Permit, if required by 01/31/20.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 01/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2020
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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: KELLEY, SUSAN FAMILY CHILD CARE
FACILITY NUMBER: 376100140
VISIT DATE: 01/02/2020
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
The maximum capacity for a Large Family Child Care Home: 12 children (with a qualified assistant) no more than 4 infants (under 24 months) the remaining children are over 2 years of age; 14 children (with a qualified assistant) no more than 3 infants and 1 child that is at least 6 years old and 1 child that is attending kindergarten or elementary. This includes children under age 10 who live in the home.

***A Regular Large Family Child Care Home License is granted and may be issued upon final file review. Applicant states that she will comply with all regulations and laws governing family child care homes and that she is financially secure to operate a family child care home for children. LPA reviewed this report with Applicant prior to obtaining her signature.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Grace CurtisTELEPHONE: (619) 767-2235
LICENSING EVALUATOR SIGNATURE:

DATE: 01/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/02/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2