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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629842
Report Date: 04/03/2024
Date Signed: 04/03/2024 02:33:36 PM

Document Has Been Signed on 04/03/2024 02:33 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:PIERRE, CARLENCIE FAMILY CHILD CAREFACILITY NUMBER:
376629842
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:		CARLENCIE PIERREFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 575-9241
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/03/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
01:05 PM
MET WITH:Carlencie PierreTIME COMPLETED:
TIME VISIT/
INSPECTION COMPLETED:
02:35 PM
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On April 3, 2024 at 1:05PM, LPA, Luigi Gargaro, conducted an announced prelicensing inspection for a relocation with the applicant to ensure compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. The one story home was toured and inspected to ensure an environment safe for the care and supervision of children. The fire extinguisher and smoke detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children.

The applicant was asked whether she had any bodies of water or weapons in the home and she replied no. CPR and First Aid expire in August of 2025 for the applicant. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Applicant rents the home and provided proof of control of property in the form of a lease agreement she submitted with her original application

Applicant will be using the following rooms for childcare: the kitchen, the dining area, the living room, the second bedroom (listed as bedroom #2 on the facility sketch) and the home bathroom. Off limits are the master bedroom and the garage. The master bedroom is made off limits with a locking door handle. The entrance door to the garage, which is found in the kitchen, has a door knob cover on it, which makes the garage inaccessible to children in care. Applicant has a wall heating unit in the home that she is attests is non-operational. Applicant understands that if it is ever made operational the heater must be made inaccessible with the installation of a secured safety gate or any other like security device.

The applicant has sufficient day care equipment available. The home has a fenced backyard that the applicant states will be off limits to the day care for the present as it contains personal items she is planning to remove and as she is also planning to landscape the lawn area. Applicant understands that she will contact licensing once the yard renovations are completed for it to be reviewed and and approved by licensing prior to use. Applicant states she will take children to a local park for outdoor activity instead whenever it is needed. The back yard is made off limits as the exit it to it is found in the off limits garage.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2024
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: PIERRE, CARLENCIE FAMILY CHILD CARE
FACILITY NUMBER: 376629842
VISIT DATE: 04/03/2024
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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. LPA and applicant discussed California Megan's Law and he provided applicant with the website address: www.meganslaw.ca.gov for her to review information regarding her facility on a regular basis. Unusual Incident Reports may be e-mailed to: SDIncidentReports@dss.ca.gov.

Applicant was reminded of requirements for children’s records, child abuse and unusual incident reporting, immunizations, adults living or working in the home and associated civil penalties, shaken baby syndrome, and SIDS. Applicant was reminded that corporal punishment, smoking, walkers, exersaucers, bouncy seats and jumpers are not allowed in day care.

Applicant also applied for a capacity increase with her change of location application and received a fire clearance from the San Diego Fire Department for the home on 03/05/24. The home appears to be large enough to comfortably accommodate 14 children.

A license for 14 will be issued at this new location when the following corrections are completed: applicant did not have a carbon monoxide detector in the home. Applicant will purchase a detector and submit a photo of the copy of the purchase receipt and of its installation in the home to analyst by 04/10/24, or earlier, to complete the correction and once received, the license will be approved.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
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