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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 136610666
Report Date: 07/09/2024
Date Signed: 07/09/2024 02:01:57 PM

Document Has Been Signed on 07/09/2024 02:01 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:GAMEZ, ANA FAMILY CHILD CAREFACILITY NUMBER:
136610666
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 10CENSUS: 6DATE:
07/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Ana GamezTIME VISIT/
INSPECTION COMPLETED:
02:15 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
On July 9, 2024, at 1:15 p.m., Licensing Program Analyst (LPA), Gloria Gonzalez conducted an unannounced case management inspection for the purpose of a capacity increase and met with the Licensee, Ana Gamez.  LPA disclosed the purpose of the inspection and was granted entry into the facility by the Licensee.  Licensee accompanied LPA inside and out of the facility during this inspection. A granted fire clearance for 14 children was received on 6/21/24. Six (6) daycare children and one (1) staff was present in the facility during this inspection.  Licensee and assistant meet immunizations requirements. The applicant provided proof of control of property for review by the Department. This one story, four bedroom, 2 bath home was toured and inspected. The hours of operation are Monday through Sunday, 6:30 a.m. to 10:00 p.m.

Applicant will use the following areas for child care: living room, kitchen, dining room, bathroom #1 (hallway), and backyard. Off limits areas include: all bedrooms #1, #2, #3, #4, bathroom #2, laundry room, backyard shed, and garage. All made inaccessible to day care children through the use of door locks and doorknob covers.

All hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available.The home has a fenced backyard available for outdoor activities. LPA did not observe any bodies of water a the time of this inspection. Licensee stated there are no weapons in the home. A review of staff records 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.  Licensee’s First Aid and CPR certifications expire on 5/2025. Licensee completed Mandated Reporter Training on 6/10/24. 5 of 6 children’s records were reviewed and contain immunization documentation and Notification of Parent’s Rights form.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2024
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: GAMEZ, ANA FAMILY CHILD CARE
FACILITY NUMBER: 136610666
VISIT DATE: 07/09/2024
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
Applicant was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the maximum number of children for whom care shall be provided when there is an assistant provider in the home, including children under age 10 who live in the licensee's home and the assistant provider's children under age 10, shall be either: Twelve (12) children with no more than four of whom may be infants or Fourteen (14) children, with at least two of the children with 1 child enrolled in kindergarten and 1 child at least six years of age and no more than three infants, with landlord consent (LIC 9149).

No deficiencies cited.

A Large Family Child Care Home license may be issued upon final file review. LPA Gloria Gonzalez interpreted and explained inspection report to Licensee in Spanish, Licensee stated she understood.

An exit interview was conducted with Licensee, Ana Gamez.  The licensee was provided a copy of their report and appeal rights (LIC 9058). 

LPA provided notice of site visit, (LIC9213) and observed it being posted at the facility.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2