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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136610587
Report Date: 07/06/2022
Date Signed: 07/06/2022 10:36:13 AM

Document Has Been Signed on 07/06/2022 10:36 AM - It Cannot Be Edited

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:GUEVARA, JOHANA FAMILY CHILD CAREFACILITY NUMBER:
136610587
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/06/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:CESAR LLAMASTIME COMPLETED:
10:39 AM
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LPA Claudia Amador announced a visit to the facility and met with applicant’s spouse Cesar Llamas. The purpose of the visit was to view the backyard fence installed to make the neighbor’s swimming pool inaccessible to the care of children. The neighbors pool is above ground and at the time of the visit the pool is covered. LPA toured the backyard fence surrounding the home, which is not climbable; photos taken. The fence height is 5 ft. 25. The LPA reviewed and provided a copy of the PIN 22-03 CCLD.

LPA reviewed-
• locks in the kitchen installed- drawers and doors.
• the security gates in their respective areas- three (3) installed.
• curtain cords- Living Room #1 and Living Room #2, are cut to make shorter.
• backyard for the children was made safe by removing articles and by installing the new fence. The side yard that will be inaccessible to children will be secured with a metal gate. The applicant will email images once the gate is installed. Photos taken of reviewed areas.

The applicant anticipates opening date in September 2022.

The applicant appears to comply; no corrections are needed and can be licensed as a small Family Child Care Home for a maximum of 8 children effective on this date.

This home is approved as a small family childcare home with a capacity for eight children with no more than three or four infants. In addition, the house is approved to care for the maximum capacity of 8 children when two children are at least six years of age or enrolled in school and a maximum of 2 infants present.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Claudia Amador
LICENSING EVALUATOR SIGNATURE: DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2022
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: GUEVARA, JOHANA FAMILY CHILD CARE
FACILITY NUMBER: 136610587
VISIT DATE: 07/06/2022
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Recommendations & Reminders
- The applicant is reminded that the home phone number must be on file with the Licensing Office at all times.
- Applicant should contact the Licensing Office before employing assistants/helpers or relocating to a new home.
- The applicant does have access to the internet www.ccld.ca.gov; the applicant was reminded to sign up for the Provider Information Notices (PINs).
- The Duty Officer is available to answer questions from 8 am-5 pm, Monday – Friday at (619) 767-2248. Please fax or email report LIC 624.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Claudia Amador
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2022
LIC809 (FAS) - (06/04)
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