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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376102509
Report Date: 03/21/2025
Date Signed: 03/21/2025 09:51:38 AM

Document Has Been Signed on 03/21/2025 09:51 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:DELUCA, AMBER & MICHAEL FAMILY CHILD CAREFACILITY NUMBER:
376102509
ADMINISTRATOR/
DIRECTOR:		AMBER & MICHAEL DELUCAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 519-1981
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
03/21/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 03/21/2021 @ 08:45 a.m/p.m., LPA Mahjoba Mohsini conducted an announced comprehensive visit for the purpose of a pre-licensing inspection. LPA was greeted at the door by the Applicants: Amber Deluca and Michael Deluca and LPA was granted entry after identifying self and disclosing the purpose of the visit. Present was also Applicant's minor child. Entrance Checklist was provided to the applicant.

Because the Applicants rent/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

LPA confirmed with that all adults living in the home have been fingerprint cleared and associated with the facility and have met all the immunization requirements.  Applicant (Amber Deluca) has provided evidence of the completion of the required 16-hr. Health and Safety training to include a Pediatric First Aid/CPR certificate with ABC, (Amber Deluca) valid through 11/2026, (Michael Deluca) 02/2026 and Mandated Reporter Trainings valid (Amber Deluca) valid through February 2026, (Michael Deluca) valid through 03/2027.
 
A tour of the two-story home (4 bedrooms, 3 bathrooms, Child Care Room, garage and fenced back yard) was conducted.  Childcare areas are: Child Care room (located down stairs), dining area, kitchen, bathroom (located down stairs), and fenced backyard. Off limit areas include: all 4 bedrooms and 2 bathrooms located upstairs and have been made inaccessible with baby gate located bottom of the stairs.  Applicant stated there are no weapons in the home. There are no bodies of water on the facility property. There is a fireplace in the day care room and has been screened. Poisons, detergents, cleaning solutions, medications are made inaccessible through use of latches and locks.

(continued on 809C....)
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Mahjoba Mohsini
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: DELUCA, AMBER & MICHAEL FAMILY CHILD CARE
FACILITY NUMBER: 376102509
VISIT DATE: 03/21/2025
NARRATIVE
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LPA tested the smoke alarm and carbon monoxide detectors, combo type located in the hallway and they were operational. The fire extinguisher is fully charged (mounted on the wall in the child care room) and meets regulations.  There is a working telephone, and Parent’s Rights form is posted. The home is kept clean and orderly with adequate heating and ventilation for safety and comfort. Outdoor play will take place in the fenced back yard. There is a sufficient amount of age-appropriate toys, books and games for children, in good condition. LPA reviewed with Form LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

LPA discussed the safe sleep regulations with Applicant and the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed Applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicants were reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Applicants were informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
(continued on 809C....)
SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Mahjoba Mohsini
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: DELUCA, AMBER & MICHAEL FAMILY CHILD CARE
FACILITY NUMBER: 376102509
VISIT DATE: 03/21/2025
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication. Select “Child Care” then “Quick Links” and Quarterly Updates. Select “Receive Important Updates” then put the email address in and choose which program(s) you would like to subscribe to and select “subscribe.” 

On this date, 03/20/2025, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ. www.meganslaw.ca.gov

Exit interview conducted and report was reviewed with the Applicants.  During the exit interview, the Applicants, confirmed that there are no Registered Sex Offenders living in the facility.
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The following correction is required prior to licensure:
  1. Preventative Health Training for Michael Deluca

Upon verification of the corrections and final file review and approval of the application, a license sent for posting.

SUPERVISORS NAME: Joelle Redding
LICENSING EVALUATOR NAME: Mahjoba Mohsini
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC809 (FAS) - (06/04)
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