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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376630226
Report Date: 01/03/2025
Date Signed: 01/03/2025 10:45:55 AM

Document Has Been Signed on 01/03/2025 10:45 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:DIAZ, DENISE FAMILY CHILD CAREFACILITY NUMBER:
376630226
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
01/03/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:58 AM
MET WITH:Denise DiazTIME VISIT/
INSPECTION COMPLETED:
10:55 AM
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On 01/03/2025 at 08:58 AM, Licensing Program Analyst (LPA) Saul Zazueta conducted an announced pre-licensing relocation inspection with applicant, Denise Diaz. The purpose of the inspection is to ensure the home is in compliance with standards established in CCR, Title 22, Division 12, Chapter 3, for Family Child Care Homes. This one-story, three (3) bedroom, two (2) bathroom house was toured and inspected. Days and hours of operation are Monday through Friday, 6:00AM to 4:30PM. There was one (1) infant present during the time of the inspection, whom is the applicant’s son.

Applicant will utilize the following areas for childcare: daycare room, living room, bathroom #1, and kitchen. Off limits areas include master bedroom, bedroom #1, bedroom #2, bathroom #2, and garage. LPA observed bedrooms and garage to be accessible in the absence of locks or doorknob covers. Applicant will utilize backyard for outdoor activities. LPA informed applicant to ensure that children are always supervised during outdoor activities.

The fire extinguisher is rated 2A:10B:C and is located in the daycare room. The smoke and carbon monoxide detectors meet requirements and are operational. LPA observed the cabinet under the sink in the kitchen, containing chemicals such as Lysol, to be accessible. LPA also observed the cabinet under the sink in the bathroom, containing cleaning chemicals, to be accessible. LPA observed children’s medication, such as Tylenol, located on the lower shelves of the hallway closet which were accessible. Applicant stated there is no pool or bodies of water on the premises. LPA did not observe any pool or bodies of water during inspection. Applicant has children's toys, play equipment and books available. The applicant has a working cell phone. Applicant stated there are no firearms or other weapons in the home. LPA observed an empty Glock handgun carrying case in the hallway closet. Applicant stated that their spouse recently sold their handgun but forgot to include the carrying case. LPA did not observe any ammo or signs of a firearm in the home. Applicant stated that their spouse has intentions of purchasing another firearm, to which LPA explained the regulations regarding firearms and proper storage.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Saul Zazueta
LICENSING EVALUATOR SIGNATURE: DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/03/2025
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: DIAZ, DENISE FAMILY CHILD CARE
FACILITY NUMBER: 376630226
VISIT DATE: 01/03/2025
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The applicant completed 8 hours of preventative health which included nutrition and lead training on 09/07/2022. Applicant’s Mandated Reporter AB1207 training expires on 10/08/2025. Pediatric CPR and First Aid certification expires on 01/18/2025. Immunization records per SB792 were reviewed and met regulations. Required documents were posted during the time of inspection.

Applicant and adult residents in the home have criminal record clearances and/or exemptions on file. Applicant was reminded that all adults 18 and over living or working in the home, 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.

Applicant provided proof of control of property. LPA provided applicant with information from the Child Care Law Center which provides information regarding renter’s rights to operate licensed family childcare homes in rented homes. Property Owner/Landlord Consent form LIC9149 is on file, signed by landlord and approves applicant to care for eight (8) children.

LPA advised applicant that prior to making alterations or additions to the home or grounds, the applicant shall notify the Department of the proposed change. Applicant states they are financially secure to operate a family childcare home for children and will comply with all regulations and laws governing family childcare homes.

LPA review the ratio/capacity worksheet with applicant. LPA discussed the maximum capacity for a small family childcare home: four infants only (infants mean any children under 24 months); or six children with no more than three infants; or, with landlord consent, eight children with no more than two infants, one child in kindergarten or elementary school and one child at least age six, including children under age 10 who live in the home.

LPA reviewed with applicant the LIC 311D, Forms/Records to Keep in Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Saul Zazueta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025
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: DIAZ, DENISE FAMILY CHILD CARE
FACILITY NUMBER: 376630226
VISIT DATE: 01/03/2025
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The Provider Resource Packet was reviewed with the applicant including information on the following: PIN 20-24-CCP Safe Sleep Regulations, lead exposure, SIDS, shaken baby, child abuse reporting, community resources, children’s records, facility records, required postings, immunization, unusual incident report, facility roster, car seat law, visual for ratio/capacity, fire/disaster drill log. Applicant was also informed the following items are prohibited during day care operating hours (walkers, exersaucers, jumpers and bouncy seats). Corporal punishment and smoking are not allowed in the day care. The Applicant agrees to comply with all regulations and laws governing family childcare homes. LPA discussed Guardian with applicant: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian, along with providing PIN 21-02-CCLD Updates to the Implementation of Guardian.

LPA discussed safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicant does not plan on providing Incidental Medical Services (IMS) to clients at this time 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.

Applicant was notified that an agent of the Licensing Department, upon presentation of proper identification, may enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice. The Applicant shall permit the Department to inspect the family childcare home, and to privately interview children or staff, to determine compliance with or to prevent violations of family childcare laws or regulations. Applicant was advised that the Department shall assess an immediate civil penalty of five hundred dollars ($500) per violation and one hundred dollars ($100) for each day the violation continues after citation, if the Applicant refuses any agent of the licensing Department entry into the daycare or any part of the daycare.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Saul Zazueta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025
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: DIAZ, DENISE FAMILY CHILD CARE
FACILITY NUMBER: 376630226
VISIT DATE: 01/03/2025
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The applicant was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Southern California Child Care Advocate information was provided, and Applicant was encouraged to subscribe through the CCLD website in order to be placed on an email list for updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

On this date, 12/31/2024, 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.

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.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Saul Zazueta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: DIAZ, DENISE FAMILY CHILD CARE
FACILITY NUMBER: 376630226
VISIT DATE: 01/03/2025
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A Regular Small Family Child Care Home license may be issued upon final review and receipt of the following corrections:

1.) Applicant stated that they will install a doorknob cover on the door in the kitchen leading to the garage, making the off-limits area inaccessible to children in care.

2.) Applicant stated that they will install doorknob covers on each of the three (3) doors in the hallway leading to the master bedroom, bedroom #1 and bedroom #2, making the off-limits areas inaccessible to children in care.

3.) Applicant stated that they will install a safety latch on the cabinet under the sink in the kitchen, making hazardous chemicals inaccessible to children in care.

4.) Applicant stated that they will remove hazardous chemicals located in the cabinet under the sink in bathroom #1, making the items inaccessible to children in care.

5.) Applicant stated that they will install a safety latch on the closet in the hallway, making children’s medication inaccessible to children in care.

An exit interview was conducted, and this report was explained to applicant, Denise Diaz.

San Diego Regional Office Duty Line was provided: (619) 767-2248.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Saul Zazueta
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2025
LIC809 (FAS) - (06/04)
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