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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625410
Report Date: 12/23/2019
Date Signed: 12/23/2019 03:24:16 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:CAMARENA, MARIA FAMILY CHILD CAREFACILITY NUMBER:
376625410
ADMINISTRATOR:MARIA CAMARENAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 247-8830
CITY:SAN DIEGOSTATE: CAZIP CODE:
92154
CAPACITY:14CENSUS: 2DATE:
12/23/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Maria CamarenaTIME COMPLETED:
03:25 PM
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An unannounced random inspection was conducted today. Upon arrival LPA observed 2 in care with the licensee. Licenee Maria Camarena was present. LPA conducted a tour of the home to ensure the health and safety of children. Licensee is using the following areas for daycare: entire home except for the bedrooms which are properly secured. Garage is also off limits.
Ms. Camarena states that she does not maintain weapons in the home. There are no bodies on the premises. All cleaners, toxics, medications and other hazardous substances are inaccessible to children in care via latched cabinets in the kitchen and hallway bathroom. Fire extinguisher, carbon monoxide detector and smoke detectors present in the home meet State Fire Marshall standards. The home is kept clean and orderly with sufficient ventilation for safety and comfort. The home provides safe toys, play equipment and materials. The home maintains a working telephone service.
Outdoor play area is a fully fenced backyard. The licensee maintains a current children’s roster. Emergency disaster drills are practiced. The licensee and helpers have completed CPR/First Aid training, certificates are valid thru 03/20.
Facility has not exceeded the capacity specified on the license. All individuals subject to criminal record review have obtained criminal record clearance or exemption prior to working, residing or volunteering.

CONTINUED ON PAGE 2
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2019
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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: CAMARENA, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 376625410
VISIT DATE: 12/23/2019
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Incidental Medical Services (IMS) policy was discussed. Facility does not provide incidental medical services. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Licensees can request to be on a distribution list for the Quarterly Updates by emailing: Childcare advocatesprogram@dss.ca.gov.

Adult immunization requirement has been met. Mandated reporter training has been discussed.

No citations issued.

Community Care Licensing WEBSITE: http://www.ccld.ca.gov

SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2