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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846521
Report Date: 01/26/2026
Date Signed: 01/26/2026 06:58:35 PM

Document Has Been Signed on 01/26/2026 06:58 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CAVERO FAMILY CHILD CAREFACILITY NUMBER:
364846521
ADMINISTRATOR/
DIRECTOR:		LUCY CAVEROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 850-9786
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 5DATE:
01/26/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Lucy CaveroTIME VISIT/
INSPECTION COMPLETED:
07:15 PM
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On 01/26/2026 at 9:15 AM, Licensing Program Analyst (LPA) Tiffanie Diep arrived at the facility to conduct an annual inspection. LPA toured inside and outside of the home, reviewed records, and observed and/or discussed the following:
· Licensee Lucy Cavero’s primary language is Spanish and Licensee’s adult child (C6) assisted with translation during the inspection.
· Licensee’s spouse/assistant (S1) was also present during the inspection.
· Normal days and hours of operation are Monday through Saturday from 6:00 AM to 8:00 PM.
· Off-limits areas include: all three bedrooms, the pool, and garage.
· The facility was operating within the licensed capacity and appropriate ratios.
· Appropriate supervision was provided during the inspection.
· A working telephone was present with current number on file.
· An appropriate fire extinguisher was present (4A60BC). A functioning smoke detector and carbon monoxide detector were present and tested by C6 during the inspection.
· There is no fireplace in the home.
· All hazardous items were stored inaccessible to children.
· Toxins were not locked. LPA observed multiple cleaning compounds, including bottles of disinfectant solutions and sprays and cans of insecticide, in a cabinet underneath the kitchen sink with a magnetic latch. LPA observed additional cleaning compounds in a cabinet underneath the bathroom sink with a latch. All items indicate they are poisonous if swallowed. LPA discussed the requirement to ensure storage areas for poisons are locked with a key or combination lock.

Continues on LIC 809-C
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Tiffanie Diep
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CAVERO FAMILY CHILD CARE
FACILITY NUMBER: 364846521
VISIT DATE: 01/26/2026
NARRATIVE
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Continued from LIC 809 (Page 2)

· There are no weapons present in the home per Licensee. Licensee understands all firearms, weapons, and ammunition must be locked separately and made inaccessible to children in care according to Title 22 Regulations.
· Facility is a one-story home.
· Verification of control of property on file (Rental Agreement).
· Property Owner/Landlord Notification (LIC 9151) on file. Licensee has not obtained a signed Property Owner/Landlord Consent Form (LIC 9149). Without this consent, Licensee understands that, once licensed, they can operate with a maximum capacity of 12 children. If property owner/landlord consent is obtained in the future, Licensee is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee of $25 to increase the capacity and provide care to 14 children.
· Facility sketches, Emergency Disaster Plan (LIC 610A), Earthquake Preparedness Checklist (LIC 9148), and Notification of Parents' Rights poster (PUB 394) were posted.
· Preventive health and safety training was completed on 01/28/2022.
· Pediatric CPR and first aid certification [not Emergency Medical Services Authority (EMSA) approved] expires on 09/04/2027. LPA informed Licensee that certifications are to be approved by EMSA.
· Mandated Reporter Training certificate expired on 09/07/2025. LPA discussed the mandated reporter training requirement and Licensee was reminded to renew the course every two years.
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Tiffanie Diep
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CAVERO FAMILY CHILD CARE
FACILITY NUMBER: 364846521
VISIT DATE: 01/26/2026
NARRATIVE
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Continued from LIC 809-C (Page 3)

· The backyard has an in-ground pool area that is surrounded by a wrought iron fence that is at least five feet high. LPA observed the gate to swing away from the pool. LPA did not observe the gate to self-close and self-latch. LPA observed the gate with a key lockable device that was locked at the time of inspection and is at least 60 inches above the ground. LPA discussed the requirement to ensure the gate self-closes and self-latches. Upon entry into the backyard, LPA observed a pool alarm in the pool that was turned off. Licensee turned the alarm on during the inspection and LPA verified the alarm was in working condition. LPA discussed the requirement to ensure the pool alarm is turned on and in working condition during the facility’s operating hours while the swimming pool is not in use. LPA observed a life ring that measures at least 17 inches in diameter and a rescue pole with a body hook at a fixed length of at least 12 feet. LPA observed the life ring did not have a label approved by the United States (US) Coast Guard. LPA discussed the pool safety requirements and informed Licensee that life rings are to be approved by the US Coast Guard. Documentation of drowning prevention and pool equipment daily inspection logs was on file; last inspection was conducted on 01/26/2026. Licensee understands all bodies of water, including in-ground and above-ground pools, hot tubs, spas, and ponds, must be inaccessible to children in care and be properly covered or fenced according to Title 22 Regulations. The Department must be notified prior to installation of these and similar bodies of water.
· Clean, safe, and age-appropriate toys were present in the living room.
· A current roster of children was on file. LPA did not observe all necessary information on the roster, including the child’s address and the name and telephone number of the child’s physician. LPA discussed the requirement to maintain a completed roster at the facility.
· Documentation of fire and disaster drills was on file; last drill was conducted on 10/17/2025.
· Children’s records were not complete. LPA did not observe Affidavit Regarding Liability Insurance for Family Child Care Home (LIC 282) forms were completed and maintained for four out of five children present.
· Staff records were not complete. LPA did not observe Mandated Reporter Training certificate for S1. LPA discussed the mandated reporter training requirement and Licensee was reminded to renew the course every two years. LPA also observed pediatric CPR and first aid certification (not EMSA approved) for S1 expires on 09/04/2027. LPA informed Licensee that certifications are to be approved by EMSA.
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Tiffanie Diep
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC809 (FAS) - (06/04)
Page: 4 of 14
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CAVERO FAMILY CHILD CARE
FACILITY NUMBER: 364846521
VISIT DATE: 01/26/2026
NARRATIVE
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Continued from LIC 809-C (Page 4)

· Licensee was informed of their reporting requirements and was provided with the Regional Office’s Unusual Incident Reporting e-mail at UnusualIncidentReportsDO09@dss.ca.gov.
· Licensee can submit transfer forms to associate new individuals or to disassociate someone from their facility via e-mail to Associations_Disassociations862@dss.ca.gov.
· The Duty Officer is available to answer questions Monday through Friday from 8:00 AM to 5:00 PM at (951) 782-4200.
· Resident and/or staff records reviewed during today’s inspection indicate that all adults who require caregiver background checks have received all required clearances or exemptions.

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.

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-and-resources/safe-sleep as an additional resource. LPA also informed Licensee 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22-02-CCP. 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 https://www.ada.gov/resources/child-care-centers/.
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Tiffanie Diep
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC809 (FAS) - (06/04)
Page: 5 of 14
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CAVERO FAMILY CHILD CARE
FACILITY NUMBER: 364846521
VISIT DATE: 01/26/2026
NARRATIVE
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Continued from LIC 809-C (Page 5)

To improve the quality and value of the new inspection process, a survey may be sent to the e-mail address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE Tool, please send e-mail inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at https://www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process. Licensee was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

See attached LIC 9102 for advisory notes. Based on LPA’s observations, interviews conducted, and records reviewed, deficiencies are being cited on the attached LIC 809-D. LPA Tiffanie Diep informed the licensee, Lucy Cavero, that this report dated 01/26/2026 documents two Type B citations as there were potential risks to the safety of children in care.

An exit interview was conducted and report was reviewed with the licensee, Lucy Cavero. During the exit interview, Licensee confirmed that there are no registered sex offenders (RSO) living in the facility and LPA completed the RSO profile in the Field Automation System. 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. A copy of Appeal Rights (LIC 9058) in Spanish was provided to Licensee.
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Tiffanie Diep
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/26/2026 06:58 PM - It Cannot Be Edited


Created By: Tiffanie Diep On 01/26/2026 at 05:37 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CAVERO FAMILY CHILD CARE
FACILITY NUMBER: 364846521

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview conducted, and records reviewed, the licensee did not comply with the section cited above as licensee did not ensure mandated reporter training was completed for all staff by the expiration date which poses a potential safety risk to children in care.
POC Due Date: 02/26/2026
Plan of Correction
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LPA discussed the mandated reporter training requirement and Licensee was reminded to ensure all staff renew the course every two years. Licensee agreed to provide completed certificates for themselves and S1 to LPA by 02/26/2026.
Type B
Section Cited
CCR
102417(m)(3)
Operation of A Family Child Care Home
(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interviews conducted, and records reviewed, the licensee did not comply with the section cited above as licensee did not ensure Affidavit Regarding Liability Insurance for Family Child Care Home (LIC 282) forms were completed and maintained for four out of five children present which poses a potential safety risk to children in care.
POC Due Date: 02/26/2026
Plan of Correction
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LPA discussed the requirement to maintain a file of affidavit for each child enrolled. Licensee agreed to provide copies of completed LIC 282 forms for C1, C2, C3, and C5 to LPA by 02/26/2026.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Ana Noble
NAME OF LICENSING PROGRAM MANAGER:
Tiffanie Diep
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2026


LIC809 (FAS) - (06/04)
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