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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314276
Report Date: 01/24/2025
Date Signed: 01/24/2025 02:00:39 PM

Document Has Been Signed on 01/24/2025 02:00 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:CELIS, GISELAFACILITY NUMBER:
304314276
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
01/24/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:43 PM
MET WITH:Celis GiselaTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 1/24/2025, Licensing Program Analyst (LPA) A. Silva and Deschampe conducted a Case Management – Licensee Initiated to amend a licensing report. Upon arrival, the LPA met with Gisela Celis. An on-site Facility Personnel Report Summary review indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Census was 4 children supervised by two staff. The facility was operating within ratios and capacity.

The Licensee wishes to add the patio as a daycare area. During the visit, the LPA inspected the patio and all other areas accessible to children in care. The patio is fenced and free of any observable hazards. The licensee created an updated LIC999 during the visit.

Daycare areas include the living room, the one bathroom, bedroom 2, and the patio. There are no bodies of water in the patio or in the premises.

The licensed home is in compliance with title 22 regulations.

Appeal rights provided. The notice of site visit was posted.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Archibaldo Silva
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
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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