336301301-2-26-2025-10-CC-WMCJ-DE9QWZ-20250226113246

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 336301301
Report Date: 02/26/2025
Date Signed: 02/26/2025 11:32:55 AM

Document Has Been Signed on 02/26/2025 11:32 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	LEWIS FAMILY CHILD CARE		FACILITY NUMBER:	336301301
ADMINISTRATOR/ DIRECTOR:	LEWIS, AMANDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(619) 784-9335
CITY:	TEMECULA	STATE: CA	ZIP CODE:	92592
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 7	CENSUS: 0	DATE:	02/26/2025
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Amanda Lewis		TIME VISIT/ INSPECTION COMPLETED:	11:45 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On February 26, 2025, at 9AM, Licensing Program Analysts (LPA’s) William Chancellor and Sandra Pulido arrived at the facility to conduct a pre-licensing inspection. The purpose of this inspection is a relocation from license # 336300495. Present during this inspection was: Amanda Lewis. The home has 4 bedrooms, 3 bathrooms, with attached garage. LPA’s toured the facility, inside and out with Amanda Lewis and the following was observed and/or discussed: · Per Applicant, off-limit areas include: entire second story, laundry room, and attached garage. The facility has appropriate child safety locks and gates, making the off-limit areas inaccessible to daycare children. · Normal hours of operation will be: Monday – Friday, 23 hours. · Smoke detectors and Carbon Monoxide detectors were tested by the applicant during this inspection and were in working order. · There is central heating and air conditioning. · Two (2A:10BC) Fire Extinguisher was available during inspection and is mounted at the entrance of the home. · All hazardous items were observed to be inaccessible. Storage of poisons and toxins are inaccessible to children and locked in the garage. Sharp items including kitchen knives, are inaccessible and stored in a locked kitchen drawer. Medications are locked and stored upstairs in master bathroom. · First Aid Kit is in the closet near the staircase and contains all required items. · No guns or weapons are stored in the facility as of this date according to applicant. Applicant, stated they understand all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 Regulations. · Stairs were barricaded with a black suspension child gate at the bottom of the staircase. · The fireplace is in the second family room, is properly screen, and locked. · Clean safe and age-appropriate toys were observed. · LPA observed a working telephone, being the applicant’s mobile telephone.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LEWIS FAMILY CHILD CARE	FACILITY NUMBER: 336301301
	VISIT DATE: 02/26/2025

NARRATIVE

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·There were no toxic plants inside or outside the facility observed at this time.
· The outside activity area consists of: the backyard is composed of a covered patio, with two appropriate age swing sets, a climbing dome, and age appropriate materials. The backyard space is half grass and half concrete patio, with a surrounding brick retaining wall, making the back hill inaccessible to children.
· There are no bodies of water observed on this date. Applicant understands all bodies of water including ponds, above ground pools and spas, in-ground pools and spas, and some fountains must be properly covered or fenced per title 22 regulations. The Department must be notified before and after installation of the bodies of water described. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position when not in use.
· Applicant will not be transporting children.
· Facility Sketch and Emergency Disaster Plan are posted.
· Pediatric CPR and First Aid Card expires 8/2026.
· Mandated Reporter certificate expires February 2026.
· Preventive Health and Safety training, including nutrition and lead components were completed on 5/7/16.

Applicant was reminded 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 Childcare 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Error! Hyperlink reference not valid.. 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) or (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

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LEWIS FAMILY CHILD CARE	FACILITY NUMBER: 336301301
	VISIT DATE: 02/26/2025

NARRATIVE

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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.

LPA discussed the 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 as an additional resource. 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.

In 2/2025, The California Attorney General – Megan’s Law website 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 address. 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.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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 platform. 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.
The following items were also reviewed with the applicant during inspection:
-Failure to meet the posting requirements shall result in an immediate $100 civil penalty.
-Documentation of fire & earthquake drills to be conducted every six months.
-Responsibilities of being a mandated reporter and updating training every 2 years.
-Personal rights of children in care, including no corporal punishment.
-Responsibility to know the Title 22 Regulations for anyone providing care and supervision.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LEWIS FAMILY CHILD CARE	FACILITY NUMBER: 336301301
	VISIT DATE: 02/26/2025

NARRATIVE

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-Capacity and Supervision requirements.
-Inaccessibility of hazards must be constantly reassessed depending on the children in care.
-Current facility phone numbers must always be on file with the licensing office.
-Baby walkers, bouncy seats, exer-saucers, and other similar items are prohibited.
-Car seat law.

-Smoking is prohibited in the facility while providing child care or transporting children.

-Once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report ( LIC809/LIC9099) must also be posted for 30 days. A civil penalty of $100 per violation will be assessed for noncompliance.

-Applicant was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO10@dss.ca.gov. Call within 24 hours and email w/in 7 days.
-The Applicant can submit fingerprint transfer forms to associate new individuals or to disassociate someone from the facility at: Associations_Disassociations858@dss.ca.gov
-Access to forms & Title 22 Regulations for Family Child Care Homes online at www.ccld.ca.gov
- The Duty Officer is available to answer questions Monday – Friday 8:00am to 5:00pm at: 951-782-4200.

No corrections were listed during the prelicensing inspection.

Once all corrections have been verified, the application for a Small Family Childcare Home will be submitted for approval with a maximum capacity of 8 children. Verification of control of property is maintained by applicant. A rental lease agreement was provided along with landlord notification and consent. Licensee is pending a fire clearance with approval of city permit, once permit is approved, fire clearance will be submitted. Applicant understands, a capacity increase will be submitted to CCL to increase the capacity from 8 to 14 children.

Exit interview conducted and report was reviewed with the applicant Amanda Lewis.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

LIC809 (FAS) - (06/04)

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