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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846736
Report Date: 10/03/2025
Date Signed: 10/03/2025 10:38:42 AM

Document Has Been Signed on 10/03/2025 10:38 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:AMADO FAMILY CHILD CAREFACILITY NUMBER:
364846736
ADMINISTRATOR/
DIRECTOR:		AMADO, GILELA ELIZABETHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 286-9370
CITY:FONTANASTATE: CAZIP CODE:
92337
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
10/03/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:38 AM
MET WITH:Gisela AmadoTIME VISIT/
INSPECTION COMPLETED:
10:50 AM
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On date and time listed, Licensing Program Analysts (LPAs) Eric Ramos arrived at the facility to conduct a plan of correction(s) visit regarding the pre-licensing inspection that was conducted on 08/14/2025. Present in the home during this inspection were Gisela Amado and Enrique Munoz (friend). LPA toured the facility, inside and out and the following was observed and/or discussed:

The following plan of correction(s) were reviewed during today's inspection:

- Applicant updated facility sketches and included 2nd floor layout. In the facility sketches, the following were include: Off limit areas of the home, exits, windows, label rooms/bathrooms and sizes of all rooms.
- Door knobs were placed on bathroom doors, supply closets and bedroom doors with key locks to prevent access to hazardous items/poisons/toxins and off limit areas.
- Paint bottles with "keep out of reach" and "call poison control" labels were moved to an inaccessible area in the home.
- Stairs are barricaded.
- Playground in the backyard is clean and safe - removed spider webs, wasp nests, tools and debris. Applicant was reminded to inspect the playground area to ensure cleanliness and safeness before children going out.
- Pool alarm is operable and tested by Applicant Gisela Amado.
- All accessible hazardous items were removed to an inaccessible/off limit area in the home.
- All accessible medication, poisons/toxins were moved to a key locked area in the home.
- Fire clearance approved on 05/06/2025.
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Eric Ramos
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2025
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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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: AMADO FAMILY CHILD CARE
FACILITY NUMBER: 364846736
VISIT DATE: 10/03/2025
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- Applicant did not provide proof of one year of experience as an administrator or director of or as a teacher at, a licensed child care center. Applicant does not meet the qualifications described previously to be licensed as a large. Applicant stated she understands she can apply for a Large Family Child Care after operating for a year minimum as a Small Family Child Care.
- All sharp objects, chemicals/cleaners, batteries, alcohol, and knives were made inaccessible in the kitchen area.
- Vertical clearance of two inches for pool door was met. The vertical clearance of the pool gate from the ground to the bottom of the enclosure measures 2 inches.

All corrections have been verified, the application for a Small Family Child Care Home will be submitted for approval with a maximum capacity of 6, or 8 with parent notification. Applicant understands that authorized representative(s) need to fill out the Parent Notification Additional Children in Care (LIC9150) and keep in each child's file.

Exit interview conducted and report was reviewed with applicant Gisela Amado.
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Eric Ramos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025
LIC809 (FAS) - (06/04)
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