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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136610656
Report Date: 01/19/2024
Date Signed: 01/19/2024 12:15:56 PM

Document Has Been Signed on 01/19/2024 12:15 PM - 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:NEVAREZ, JANETH FAMILY CHILD CAREFACILITY NUMBER:
136610656
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
01/19/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Janeth NevarezTIME COMPLETED:
12:15 PM
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On 1/19/24 at 9:50 a.m.  Licensing Program Analyst (LPA), Adrian Castellon conducted an announced Pre-Licensing inspection. Upon arrival, LPA met with Applicant Janeth Navarez and proceeded to tour the facility to ensure the facility is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3. Facility plans to operate Sunday through Saturday, 24 hours. 
   
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 detectors meet requirements and are operational.  LPAs observed required postings posted. Children’s toys and play equipment are safe and age appropriate. There are no bodies of water present. LPA informed applicant to ensure children are supervised at all times during outdoor activities. There are properly secured firearms or other weapons in the home, per licensee. Primary telephone is a cell phone which is operational.  Pediatric CPR and First-Aid certificate are valid through June 2025. A review of clearances on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Applicant has met the immunization requirement, per SB792 and has completed the AB1207 Mandated Reporter Training.

Licensee will use the following areas for childcare: entire home except for bedrooms #1, 2, and 3 and hallway bathroom. Bathroom located in bedroom #4 (daycare room) will be used for daycare purposes. Incidental Medical Services (IMS) policy was discussed. 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 provided 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 ** See LIC809 continuation
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/19/2024
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: NEVAREZ, JANETH FAMILY CHILD CARE
FACILITY NUMBER: 136610656
VISIT DATE: 01/19/2024
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LPA informed applicant in order to access CCLD-Childcare regulations, licensing forms, pay the annual fee to visit the following website: http://ccld.ca.gov. LPA discussed the following with applicant: to sign up for Quarterly Updates and PINs through the departments website. Please go to www.cdss.ca.gov and on the right side of your screen click on “Receive Important Updates”, put your email address in and choose which program(s) you would like to subscribe to and click “subscribe. In addition, for questions contact Child Care Licensing duty line at 619-767-2248. LPA discussed the following with applicant: lead poisoning effects brochure and information on SIDS and shaken baby syndrome, child abuse reporting, community resources, children’s records/facility records/required postings, immunization's, unusual incident report, roster, visual for ratio/capacity, prohibited items handout (walkers, exersaucers, jumpers and bouncy seats), emergency drill log example. LPA discussed California Megan's Law and provided the following to applicant with the following website: www.meganslaw.ca.gov.

LPA discussed the following with applicant: maximum capacity for a small family child care home: 4 infants only (infants mean any children under 24 months); or 6 children with no more than 3 infants; or (with landlord consent) 8 children with no more than 2 infants, 1 child in kindergarten or elementary school and 1 child at least age 6 including children under age 10 who live in the applicant's home.

An exit interview was conducted with the applicant. The following was discussed and provided to the applicant: LIC809, LIC809-C report.

A small family child care license will be issued after a final file review.

SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
LIC809 (FAS) - (06/04)
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