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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400298
Report Date: 07/03/2024
Date Signed: 07/03/2024 10:49:58 AM

Document Has Been Signed on 07/03/2024 10:49 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:JIMENEZ FAMILY CHILD CAREFACILITY NUMBER:
198400298
ADMINISTRATOR/
DIRECTOR:
ANTONIA JIMENEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 740-6168
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
07/03/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Antonia Jimenez, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analysts (LPAs) Alicia Mooberry and Portia Bowden conducted an unannounced case management inspection to the above facility to assess the inaccessibility to the above ground pool that the licensee want to install in the backyard. LPAs met with licensee, Antonia Jimenez and observed seven (7) children present including one infant. Also present was Assistant Liliana Rivas.

LPA's inspected the home and the back yard where licensee wishes to install an above ground pool. LPAs observed the empty pool (18 ft x 48 in.). LPAs observed black steel fence is installed between the yard where the pool is located and the back door exit to the home. The height of the fence was measured and is less than 5 feet tall, the spaced between the rails is 4 inches. The gate leading to the pool is not consistently self closing nor self latching. There are other possible point of access to the back yard including side gate that leads to the front yard where children play.

LPAs provided Technical Assistant and reviewed California Code of Regulations 102417(g)(5)(A(B) that requires licensee to ensure inaccessibility of pools or any such body of water to children in care.

The licensee agrees NOT to fill the pool during daycare hours of operation until the required barriers have been installed. LPAs will conduct a follow up visit to ensure the health and safety of children in care and to ensure that Licensee is in compliance.

No deficiencies are cited during this inspection.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.

Exit interview was conducted with Antonia Jimenez, Licensee.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2024
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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