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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376100400
Report Date: 06/14/2021
Date Signed: 06/14/2021 01:44:16 PM

Document Has Been Signed on 06/14/2021 01:44 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:JENELLE RAIMOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
7602243863
CITY:CARLSBADSTATE: CAZIP CODE:
92010
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 10DATE:
06/14/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Licensee Jenelle RaimoTIME COMPLETED:
11:45 AM
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On 6/14/21 at 10:55 a.m., Licensing Program Analyst, Joelle Redding, made an unannounced visit for the purpose of a 1 year required annual spection. During this visit, there were 10 school age children in care with Licensee and her two 15 year old assistants. Appropriate supervision was in place. The facility is within ratio and capacity.

LPA toured the home. Primary child care areas are first floor with the exception of the garage which has been secured with a lock. There are no weapons stored in the home or on the property. There is a empty, locked jacuzzi in the backyard. The fireplace has been secured and the stairs have been made inaccessible. The fire extinguisher is full and of adequate size, mounted near the front door. The smoke alarm (ceiling by stairway) and carbon monoxide detector (plugged in on dividing wall in living room) are operational. The home is clean, orderly and has adequate ventilation and heating. Licensee has provided sufficient space for the children to eat and play within the home. No napping in the program which is half day. Children’s toys and play equipment are safe and age appropriate. A trampoline was being used in accordance with manufacturer recommendation. There is a blow up pool with some water at the bottom of the slide for water play that will be emptied when not directly supervised. There is a working telephone and all required forms are posted. Outdoor play space is fully fenced and supervision is provided at all times. No hazards were noted. Children’s files were reviewed for emergency information. Licensee's pediatric CPR/FA certificate with Heartsaver is valid through 5/22. SB 792 (Staff Immunizations - Measles, Pertussis, Influenza) and current TB tests are required for all staff. Requirements have been met. Current AB 1207 (Mandated Reporter Training certificate (exp. 5/22/22) is on file for Licensee.

Licensee is to be present in the home to ensure children are supervised and reminded that no children are to be left in parked vehicles and car seats are not to use used for sleeping. Children will be observed upon entry and throughout the day for signs of illness an an appropriate isolation area is established for sick children. Capacity limitations were reviewed.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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 CARE
FACILITY NUMBER: 376100400
VISIT DATE: 06/14/2021
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Safe Sleep was discussed to include requirements for cribs/play yards, proper infant placement, supervision and documentation while sleeping. An Individual Sleeping Plan (LIC 9227) and safe sleep log along with Child Care Providers Guide to Safe Sleep Handout was provided. LPA discussed California Megan's Law and the website was provided as follows: www.meganslaw.ca.gov. Licensee is reminded that infants may not be swaddled while in care and walkers, exersaucers, jumpers, bouncy seats, napping portables and drop sided cribs are not permitted for use.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, an updated Plan of Operation that includes 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/ (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. Services are/are not in place. There will be a child that requires an EpiPen in the fall. LPA will assist the provider in preparing a plan.

Licensee is signed up to receive quarterly updates and Provider Information Notices (PINs). No deficiencies are cited.

Notice of Site Visit was posted during this visit and must remain posted for 30 days.
SUPERVISORS NAME: Renesha Pack
LICENSING EVALUATOR NAME: Joelle Redding
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021
LIC809 (FAS) - (06/04)
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