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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629309
Report Date: 08/09/2024
Date Signed: 08/09/2024 03:26:24 PM

Document Has Been Signed on 08/09/2024 03:26 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:SALCEDO, JESSICA FAMILY CHILD CAREFACILITY NUMBER:
376629309
ADMINISTRATOR/
DIRECTOR:		JESSICA SALCEDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 874-0943
CITY:NATIONAL CITYSTATE: CAZIP CODE:
91950
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 2DATE:
08/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Jessica SalcedoTIME VISIT/
INSPECTION COMPLETED:
03:35 PM
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On 08/09/2024 at 02:45 PM Licensing Program Analyst (LPA), Dana Stevens conducted an unannounced Inspection for the purpose of change of outdoor space used for child care. LPA met with Licensee, Jessica Salcedo, disclosed the purpose of the inspection and was granted entry into the facility. There were 4 daycare children present at the time of the inspection ages 4, 7, 8 and 9 years. A total of 4 children are enrolled. Licensee accompanied LPA on a tour of the inside and outside of the facility.

Licensee will use the following areas for child care: Daycare room, kitchen, and bathroom. Off limits areas include: 3 bedrooms, Living Room, DIning Room, Garage and backyard. These areas are made inaccessible with the use of safety gates and doorknob covers. The front yard will now be used for outdoor activities and Licensee stated total supervision is provided during outdoor play. Front yard is fully fenced, free of hazards, and toys and age-appropriate play equipment are available.

The fire extinguisher, smoke detector, and carbon monoxide detector met requirements.  The licensee has toys, play equipment and materials available. Licensee stated there are no weapons in the home. Licensee's First Aid and CPR certifications expire on 05/2026.



Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: SALCEDO, JESSICA FAMILY CHILD CARE
FACILITY NUMBER: 376629309
VISIT DATE: 08/09/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, 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)/ (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

No deficiencies cited.

Front yard is approved for use for outdoor play effective this date.

Exit interview conducted and copy of report was provided to licensee.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Dana Stevens
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2024
LIC809 (FAS) - (06/04)
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