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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101405
Report Date: 08/24/2023
Date Signed: 08/24/2023 04:18:40 PM

Document Has Been Signed on 08/24/2023 04:18 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:ONEILL, RACHELLE & KERRY FAMILY CHILD CAREFACILITY NUMBER:
376101405
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 3DATE:
08/24/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Licensee Rachelle ONeill TIME COMPLETED:
12:50 PM
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Licensing Program Analyst, LPA Jennifer Lott made an announced case management visit initiated by the licensee. LPA was greeted at the front door by Licensee, Rachelle ONeill and granted entry after identifying herself and disclosing the purpose of her visit.
The purpose of LPA's visit was to discuss a pending floor sketch change for the child care.

LPA Lott toured the facility and observed the changes that Licensee wants to make. Licensee would like to use room #3 and room #5 for day care use when needed.

No deficiencies were observed at this time. Licensee has been granted the use of the additional rooms for day care.

An exit interview was conducted and report reviewed with Licensee, ONeill. A notice of site visit was given and must be posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Jennifer Lott
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2023
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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