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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629463
Report Date: 01/09/2023
Date Signed: 01/09/2023 12:04:10 PM

Document Has Been Signed on 01/09/2023 12:04 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:DALEY, KODY FAMILY CHILD CAREFACILITY NUMBER:
376629463
ADMINISTRATOR:KODY DALEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 277-7835
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
01/09/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Kody DaleyTIME COMPLETED:
08:45 AM
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On January 9th, 2023 at 8:00 AM, Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an inspection with Applicant Kody Daley. The inspection’s purpose is to ensure that the home follows standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Present in the home was the Licensee, one (1) helper and five (5) children; two (2) children under 12 months, two (2) toddlers (2-3 years) and one (1) school aged child (age 5 years).

The following areas are used for childcare: the family room, one (1) bathroom and the fenced front side yard. The off limits areas include the backyard, kitchen, remaining bathrooms and the bedrooms. The bedrooms and remaining bathrooms are made inaccessible by use of child safety doorknobs. Kitchen cabinets have cabinet locks. Children will only use the living room to pass towards the fenced front side yard for outdoor activities.

The in ground pool is located in the off limits backyard. The backyard is enclosed by two wooden fences which hinder access into the backyard. The childcare bathroom has a door which leads to the backyard, however there is a safety door gate on this door and another fence barring access into the backyard.

The in ground pool is fenced. LPA toured the backyard/pool area and observed that both metal and wooden fences encloses the pool. LPA measured the fencing height to be approximately 5 feet high. LPA observed that the gate opens away from the pool/backyard area and is self-closing and self-latching. LPA and Licensee opened the gate and allow the gate to self-close and self-latch. The gate self-latching device is less than 6 inches from the top of the gate. LPA observed that metal fencing does not obstruct the pool from view and is not easily climbable by children. The in ground pool is made inaccessible to children by fencing.

Licensee declared that children shall not utilize this pool or backyard area. Licensee states they will ensure children are kept away from the backyard/pool area.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2023
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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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: DALEY, KODY FAMILY CHILD CARE
FACILITY NUMBER: 376629463
VISIT DATE: 01/09/2023
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A large license is issued effective today 01/09/2023. The Licensee requests that the new license be mailed to them when available. The new license will be mailed to the Licensee when available.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Licensee Kody Daley.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023
LIC809 (FAS) - (06/04)
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