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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629412
Report Date: 10/18/2024
Date Signed: 10/18/2024 09:41:47 AM

Document Has Been Signed on 10/18/2024 09:41 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MORENO, CLAUDIA ZULEMA FAMILY CHILD CAREFACILITY NUMBER:
376629412
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 3CENSUS: 3DATE:
10/18/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Claudia Zulema MorenoTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On 10/18/2024 at 9:00 am, Licensing Program Analyst (LPA), Gloria Gonzalez conducted an unannounced Plan of Correction (POC) inspection at the facility. Purpose of this inspection is to ensure the citation issued during an annual inspection dated 10/11/24 was corrected. Upon arrival, LPA met with Licensee, Claudia Zulema Moreno and proceeded to tour the facility. There were three (3) children and one (1) helper present during today’s inspection. 

The following citation issued on 10/11/24 was corrected as follows:

The pool gate that was not self-latching was corrected by the plan of correction date of 10/14/24. Licensee sent Licensing a video of the pool gate self-closing and self-latching on 10/11/24. Licensee submitted a written statement of her understanding of this regulation and a summary of the pool video on the CCL website on 10/14/24. At today's inspection LPA observed the pool gate self-closing and self-latching.

No deficiencies cited.

A copy of the report and appeal rights (LIC 9058) and notice of site visit (LIC9213) was provided to Licensee and must remain posted for 30 days. LPA interpreted and explained the inspection report to licensee in Spanish, licensee stated she understood.

An exit interview was conducted and report was reviewed with the licensee, Claudia Zulema Moreno.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Gloria Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2024
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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