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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844604
Report Date: 11/29/2022
Date Signed: 11/29/2022 02:58:48 PM

Document Has Been Signed on 11/29/2022 02:58 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CEJA FAMILY CHILD CAREFACILITY NUMBER:
334844604
ADMINISTRATOR:CEJA, JASMINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 848-5001
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 7DATE:
11/29/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:TIME COMPLETED:
03:10 PM
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Licensing Program Analysts (LPAs), Ana Noble and Sumayya Habeebulla arrived to the facility to conduct a Case Management for the purpose of inspecting the newly installed mesh pool fence. LPA met Jasmin Ceja, Licensee. LPAs toured the back yard pool area, measured the fence, checked the gate and lock. LPA Noble took pictures and provided technical assistance regarding maintaining the mesh fencing in place at all times during days and hours of operation.

The fence is a removable mesh fence which is currently 5 feet, with a self closing self latching lock and currently meet Title 22 Regulations. There are no window or doors leading into the pool/body of water. Licensee may now fill pool with water.


Licensee acknowledges that the mesh fence is to be in place at all times during day-care days and hours of operation

X____________________________________________________

An exit interview was conducted and a copy of this report was provided to Mrs. Ceja, Licensee on this date.

A copy of this report must be made available to the public upon request for 3 years.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2022
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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