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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100400
Report Date: 05/17/2021
Date Signed: 05/17/2021 03:29:09 PM

Document Has Been Signed on 05/17/2021 03:29 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:RAIMO, JENELLE FAMILY CHILD CAREFACILITY NUMBER:
376100400
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 1DATE:
05/17/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:LicenseeTIME COMPLETED:
03:30 PM
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On 5/17/21 at 2:45 p.m., Licensing Program Analyst, Joelle Redding, conducted a virtual case management visit due to Covid-19 restrictions. The purpose of this visit is to inspect the facility for a requested increase in capacity. Fire clearance was received on 5/6/2021.

During this visit, LPA toured the child care areas of the facility to include the downstairs bedroom that was recently added as "on limits" space. The upstairs is off limits and has been secured with a gate. The garage has been made inaccessible via a locking door. The cabinet under the sink has been secured with a latch as has the bedroom cabinet. Knives are inaccessbile in a block on the cabinet and will be moved to a higher place when school age children attend the program. The outdoor areas is fully fenced and large. Play equipment and a trampoline will be used according to manufacturers age and use recommendations. There is a jacuzzi in the back yard with a securely locked cover. No weapons are in the home and the fire place has been secured. Licensee has all appropriate forms posted to include Covid-19 informational posters for parents and children in appropriate areas for viewing. The Covid-19 self assessment guide was signed and provided to LPA prior to this visit and reviewed today. Licensee has sufficient PPE, no-touch thermometer and hand sanitizer. Drop off and pick up is at the front door, appropriate cleaning supplies and methods are in place and indoor spaces are large for social distancing. The children are outdoors as much as possible, when the weather permits. Licensee's program will be Monday thru Friday from 8 to 3 in the summer time with assistants to operate at large capacity. In the fall, she intends to resume a small license capacity with the program operating Monday thru Friday from 8:30 to 12:30. LPA revisted and reviewed children's records, capacity limitations, assistant requirements and checked the child care roster. The carbon monoxide detector, smoke alarms and fire extinguisher are operational.

Increase in capacity is granted. An updated license will be sent for posting. This report is being delivered via email for signature, due to Covid 19 restrictions. Licensee's reply to this report is considered confirmation of receipt.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2021
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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