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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376629897
Report Date: 10/25/2024
Date Signed: 10/25/2024 01:00:16 PM

Document Has Been Signed on 10/25/2024 01:00 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
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:SEMEXANT, JOHNSON FAMILY CHILD CAREFACILITY NUMBER:
376629897
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
10/25/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Johnson SemexantTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
NARRATIVE
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On 10/25/2024 at 9:50am, Licensing Program Analysts (LPAs) Oscar Picazo and Michelle Hood conducted an unannounced case management inspection for the purpose of an increase in capacity. Upon arrival, LPAs met with licensee, Johnson Semexant and disclosed the purpose the inspection. The purpose of the inspection is to ensure that the home follows standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. Also present is license's spouse, Sabine Dorceus, and two preschool pre-school age children. Days and hours of operation are Monday through Friday, 7:00am - 11:00pm. The licensee stated two of the eight daycare children enrolled are cared for at the facility, and the other children he transports to and from school and their home.

On 10/02/2024, a fire clearance was granted for 14 children. LPAs, accompanied by applicant, toured the indoor and outdoor of the home. This is a single story 3 bedroom, 2 bathroom home. Licensee will utilize the following areas for childcare: living room, dining room, kitchen, bedroom #3, bathroom #1, and the fenced front yard. Off-limits areas include bedroom #1, bedroom #2, bathroom #2, backyard and garage. Off limit areas are inaccessible to children by use of child-proof gate, cabinet locks and latches. The licensee obtained a signed Property Owner/Landlord Consent form (LIC 9149).

The fire extinguisher is rated 2-A:10-B:C which meets statutory requirements and is located in the kitchen. Smoke and carbon monoxide detectors meet requirements and are operational. Poisons, detergents, cleaning compounds, medications and other hazardous items were made inaccessible to children by cabinet latches/locks and/or placed on high surfaces. There is a fireplace in the home which is barricaded with an electric Free Standing fire place. The applicant has a working cell phone. Licensee stated there are no bodies of water on the premises. LPA observed no bodies of water during the time of inspection. Licensee stated there are no firearms, other weapons, or ammunition in the home.
See LIC 809C Continuation...
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Oscar Picazo
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: 10/25/2024
NARRATIVE
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Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Licensee's Mandated Reporter AB1207 training expires on 11/26/2024. Pediatric CPR and First Aid certifications expire on 05/2025. A sample of children’s files were reviewed and were determined not to be complete.

On this date, 10/25/2024, the California Attorney General - Megan’s Law website (meganslaw.ca.gov) was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

LPA discussed with Licensee 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 is no qualified assistant, 14 years of age or present, the capacity reverts to the requirements for a Small Family Child Care.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

See LIC 809C Continuation...

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Oscar Picazo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
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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: 10/25/2024
NARRATIVE
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An exit interview was conducted and report was reviewed with the Licensee, Johnson Semexant. A copy of the report and appeal rights (LIC 9058) was provided to the Licensee and notice of site visit (LIC9213) was given to Licensee and was advised it must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. See LIC 809D for deficiencies.

Once deficiencies have been cleared, a large family childcare home license may be issued upon final file review.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Oscar Picazo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024
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Document Has Been Signed on 10/25/2024 01:00 PM - It Cannot Be Edited


Created By: Oscar Picazo On 10/25/2024 at 11:28 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: SEMEXANT, JOHNSON FAMILY CHILD CARE
FACILITY NUMBER: 376629897

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/01/2024
Section Cited
HSC
102421(b)

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 102421(b) Child's Records - The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7). This requirement is not met as evidenced by:
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Licensee stated he will be providing the parents the LIC 700 and shall be returned to Licensee on the next day of attendance. Licensee stated he will provide copies of the completed LIC 700 to LPA PIcazo no later than 11/01/24.
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Based on LPA's attempted childrens file review, the licensee was not able to provide childrens records (LIC 700) Emergency Information for 8 out of 8 children enrolled. This is a potential health and safety risk to children in care.
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Type B
11/01/2024
Section Cited
CCR102418(g)

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102418 Immunizations: The licensee shall document each child's immunizations 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. This requirement is not met as evidenced by:
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Licensee stated he will be requesting immunization records from the parents and are to be submitted to Licensee on the next day of attendance. Licensee stated he will provide copies of the immunization records to LPA PIcazo no later than 11/01/24.
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Based on LPA's attempted childrens file review, the licensee was not able to provide childrens immunizations records for 2 out of 2 children observed in attendance during the inspection. This is a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Tulam Vu
LICENSING EVALUATOR NAME:Oscar Picazo
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2024


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