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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409184
Report Date: 04/11/2024
Date Signed: 04/11/2024 10:46:05 AM

Document Has Been Signed on 04/11/2024 10:46 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:INIGUEZ, JANELLE & DANIELFACILITY NUMBER:
073409184
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 9CENSUS: 4DATE:
04/11/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Janelle IniguezTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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Licensing Program Analysts (LPA) Cherie Acosta and Dealia Frison conducted an unannounced case management/increase in capacity inspection. Present during today’s inspection was the licensee, her fingerprint cleared assistant and two minor children. There were 2 preschool aged children in care. Licensee has an approved fire clearance for up to 14 children dated 2/1/24.

The home was toured for Health and Safety Inspection. The On Limits area of the home include the ADU and the following rooms of the main house :living room, dining room, kitchen, bedrooms #2 and #4, and bathroom located near bedroom #3. The remainder of the main house is off limits to children in care. Off limits areas will be made inaccessible by use of gates, closed and/or locked doors and visual supervision. The home has a pool and hot tub that is made inaccessible by a 5 foot mesh fence. The fence has a self closing gate that opens away from the pool. The fenced back yard is used for outdoor play. Licensee also uses the front yard for outdoor play. Licensee understands she must provide 100% supervision while children are playing in the front yard as the front yard is not fenced. There are no firearms on the premises as stated by the licensee. Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored and inaccessible to children. LPA verified that the fire extinguisher 3A40BC is fully charged. The home is equipped with both a smoke detector and carbon monoxide detector. There is a working telephone in the home. The home provides appropriate toys, learning materials and play equipment.

The licensee is operating within the licensed capacity. LPA did not observe any child left without supervision during the inspection.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2024
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: INIGUEZ, JANELLE & DANIEL
FACILITY NUMBER: 073409184
VISIT DATE: 04/11/2024
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The licensee has current CPR and First Aid which expires 01/25. Mandated reporter training was completed 02/02/24. Licensee is in compliance with required immunizations for childcare providers.
Fire and disaster drills are conducted at least once every six months.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] 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.

Licensee 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

The increase in capacity for this home is approved effective today, 04/11/2024. Licensee may care for up to 14 children.

Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Janelle Iniguez.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC809 (FAS) - (06/04)
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