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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300507
Report Date: 01/31/2025
Date Signed: 01/31/2025 10:04:55 AM

Document Has Been Signed on 01/31/2025 10:04 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:VALENZUELA FAMILY CHILD CAREFACILITY NUMBER:
336300507
ADMINISTRATOR/
DIRECTOR:		VALENZUELA, MELISSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 487-1512
CITY:SAN JACINTOSTATE: CAZIP CODE:
92582
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
01/31/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Melissa ValenzuelaTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
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On January 31, 2025, at 9:05 AM, Licensing Program Analyst, Cindy Hamilton and Licensing Program Manager (LPM) Carlos Martinez made an unannounced visit for the purpose of a case management visit. LPA and LPM were granted access to the home by Licensee Melissa Valenzuela. During this visit, LPA and LPM toured the facility inside and out and conducted census of children in care.

The purpose of the visit is to ensure the above ground pool on site was in compliance per Title 22 regulations. Licensee installed an above ground pool in July 2024 and intends to use for daycare children. LPA and LPM observed the pool was enclosed by a wooden fence that obstructs the view of the pool, has a pool cover and has a gate that does not open out or self latching device. In addition, there is a window that would allow access to the pool within the fenced area. This pool area does not meet Title 22 regulations at this time. The FCCH is being cited a Type A violation for Title 22, Section 102417(5)(B) Operation of a Family Child Care Home. Licensee has temporarily made the backyard off-limits until corrections can be made.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Licensee.

An exit interview was conducted, a copy of this report and PIN 25-01 CCP was reviewed with and provided to Licensee Melissa Valenzuela. Appeal Rights and Notice of Site visit were also discussed and provided during the exit interview. Licensee reminded Notice of Site visit must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2025
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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Document Has Been Signed on 01/31/2025 10:04 AM - It Cannot Be Edited


Created By: Cindy Hamilton On 01/31/2025 at 09:42 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: VALENZUELA FAMILY CHILD CARE
FACILITY NUMBER: 336300507

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/14/2025
Section Cited
CCR
102417(5)(B)

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All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), ... similar bodies of water through... surrounding the pool with a fence. (B) Where an above-ground pool structure is used as the fence or where the fence is mounted on top of the pool structure, the pool shall be made inaccessible when not in use by removing or making the ladder inaccessible or erecting a barricade to prevent access to decking. If a barricade is used, the barricade shall meet the requirements of Section 102417(g)(5)(A). This requirement was not met as evidenced by:
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Licensee will ensure that the proper fencing is in place and meets Title 22 regulations on or before February 14,2025.
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LPA and LPM observed the above ground pool did not have the proper fencing which poses an immediate health, safety and/or personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Carlos Martinez
LICENSING EVALUATOR NAME:Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2025


LIC809 (FAS) - (06/04)
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