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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364808870
Report Date: 01/27/2025
Date Signed: 01/27/2025 10:08:36 AM

Document Has Been Signed on 01/27/2025 10:08 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:JANISZEWSKA FAMILY CHILD CAREFACILITY NUMBER:
364808870
ADMINISTRATOR/
DIRECTOR:		CZESLAWA JANISZEWSKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 874-7322
CITY:RIALTOSTATE: CAZIP CODE:
92377
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 0DATE:
01/27/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Czeslawa JaniszewskaTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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On 01/27/2025 at 9:15 AM, Licensing Program Analyst (LPA) Tiffanie Diep met with Licensee Czeslawa Janiszewska for the purpose of an unannounced Plan of Correction (POC) inspection. LPA did not observe any children present in the home with Licensee and their adult child (C1).

All individuals subject to a criminal record review have obtained a criminal record clearance. 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 five 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.

During an annual inspection conducted on 12/20/2024, Licensee was issued a Type B citation as required immunizations were not maintained for themselves. Licensee had agreed to submit the required immunizations for themselves. The POC due date was agreed upon for 01/20/2025; however, the POC has not been received as of 01/27/2025.

Licensee did not correct the previously cited deficiency, which results in a civil penalty of $100 per day for a total of $700. The civil penalty of $100 per day will continue to be assessed until the violation is corrected.

An exit interview was conducted and report was reviewed with the licensee, Czeslawa Janiszewska. A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE: DATE: 01/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/27/2025
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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