376629897-11-5-2024-20-CC-OPIO-DAQQKZ-20241105111511

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376629897
Report Date: 11/05/2024
Date Signed: 11/05/2024 11:15:20 AM

Document Has Been Signed on 11/05/2024 11:15 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	SEMEXANT, JOHNSON FAMILY CHILD CARE		FACILITY NUMBER:	376629897
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	11/05/2024
TYPE OF VISIT:	POC	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:30 AM
MET WITH:	Johnson Semexant		TIME VISIT/ INSPECTION COMPLETED:	11:20 AM

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On 11/05/2024, at 8:30am, Licensing Program Analyst (LPA), Oscar Picazo conducted an unannounced Plan of Correction (POC) inspection. Upon arrival, Licensee was not home and was greeted and granted entry by licensee's assistant who is also his wife, Sabine Dorceus. Sabine stated that licensee was dropping off children at school and would be back shortly. Sabine called licensee and let him know I arrived. The purpose of this inspection is to ensure that the deficiencies cited during the annual random inspection on 10/25/2024 were corrected. Licensee Johnson Semexant arrived at approximately 9:20 AM and met with LPA and proceeded to produce the daycare children's' files. There were no day care children in care.

The following deficiencies have been correction as follows:

· Licensee has completed children’s records for all children in care. LPA reviewed and determined to be completed.

· Licensee has acquired immunization records and completed children’s immunization record forms for all children in care. LPA reviewed and determined to be completed.

LPA reviewed 8 of 8 day care children's files and determined they are complete and meet regulation.

LPA discussed, reviewed and provided title 22 regulation section 102421(b) Child's Records and 102418(g) Immunization:

102421(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7).

102418(g) The licensee shall document each child's immunization as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled. See LIC 809C Continuation...

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Oscar Picazo
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: SEMEXANT, JOHNSON FAMILY CHILD CARE	FACILITY NUMBER: 376629897
	VISIT DATE: 11/05/2024

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Licensee Johnson Semexant stated he understands and will comply with the cited regulations.

The maximum capacity for a large family child care home: 12 children (with a qualified assistant) with no more than 4 infants; or (with landlord consent) 14 children (with a qualified assistant) with no more than 3 infants, 1 child enrolled in kindergarten or elementary school and 1 child at least age 6 including children under age 10 who live in the licensee's home. When there are no Qualified Assistants present, the capacity reverts to the requirements for a Small Family Child Care. To access our Regulations and Forms please use our WEBSITE: http://ccld.ca.gov.

LPA reviewed capacity for a large license for up to 14 children. LPA viewed form LIC 9149 Landlord consent for large license and is on file.

A copy of the report and Appeal Rights were provided to the licensee. Notice of Site Visit (LIC 9213) was given to the licensee and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

A large family childcare home license may be issued upon final file review.

Exit interview was conducted with Licensee, Johnson Semexant.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Oscar Picazo
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

LIC809 (FAS) - (06/04)

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