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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376626801
Report Date: 12/29/2020
Date Signed: 01/04/2021 10:15:04 AM

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:HERNANDEZ, EUNICE FAMILY CHILD CAREFACILITY NUMBER:
376626801
ADMINISTRATOR:EUNICE HERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 602-9967
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY:14CENSUS: 0DATE:
12/29/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Eunice HernandezTIME COMPLETED:
12:00 PM
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On 12/29/20 11:30 a.m. Licensing Program Analyst (LPA), Adrian Castellon conducted an unannounced case management, licensee initiated tele-visit. Due to Covid-19 pandemic, the inspection was conducted via FACETIME. Upon visit, LPA met with licensee, Eunice Hernandez. Also, present in the home at time of visit licensees’ two minor children. No daycare children in care during visit. The home was toured and inspected to ensure an environment safe for the care and supervision of children. Facility operates Monday through Friday from 7:00 a.m. to 6:30 p.m.

All cleaning compounds, detergents, medications and other items which could pose a danger to children are stored where they are inaccessible to children and poisons are to be locked away. The fire extinguisher, smoke and carbon monoxide detector meet requirements and are operational. LPA observed required postings posted. 2A:10 fire extinguisher present in home and non-expired. Children’s toys and play equipment are safe and age appropriate. There are no bodies of water observed by LPA during inspection. Children utilize partial of the front yard for outdoor play. LPA informed licensee to ensure children are supervised at all times during outdoor activities. There are no firearms or other weapons in the home, per licensee. Current pediatric CPR and first aid certifications are on file.

Licensee Hernandez wishes to use a previously off limit space for child care purposes. The area is the back patio and an updated facility sketch has been submitted. LPA Castellon inspected the area on this date. The area is free of hazards or debris. The back patio may now be used for daycare purposes.
SUPERVISOR'S NAME: Joe CarrascoTELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Adrian CastellonTELEPHONE: (619) 767-2237
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2020
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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