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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376625550
Report Date: 09/16/2024
Date Signed: 09/16/2024 03:02:43 PM

Document Has Been Signed on 09/16/2024 03:02 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:PENASKOVIC, JULIE ANN FAMILY CHILD CAREFACILITY NUMBER:
376625550
ADMINISTRATOR/
DIRECTOR:		JULIE PENASKOVICFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 602-3498
CITY:SAN DIEGOSTATE: CAZIP CODE:
92104
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
09/16/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Julie PenaskovicTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 9/16/2024 at 11:00 a.m., Licensing Program Analyst (LPA), Cindy Meier arrived at the facility to conduct a case management-licensee initiated inspection for the purpose of inspecting a newly constructed garage conversion to be used as activity space. Upon arrival, LPA met with Licensee, Julie Ann Penaskovic and was led on a tour of the facility. There were seven (7) children, licensee, and assistant (S1). Hours of operation are Monday - Friday 9:00 a.m. – 1:00 p.m.

During today’s inspection, LPA inspected the new converted garage activity space. The children enter the facility from the driveway into the new activity space. The activity space consists of a large activity area and a bathroom. The activity space opens into the large outdoor play area. The entire main house is off limits and inaccessible to the children. The fire extinguisher, smoke detector and carbon monoxide detector met requirements. Hazardous items were inaccessible to children in care.

Fire clearance was granted on 9/10/24.
No deficiencies were cited. The converted garage is approved to be used as activity space today 9/16/2024.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee, Julie Ann Penaskovic.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Cindy Meier
LICENSING EVALUATOR SIGNATURE: DATE: 09/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2024
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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