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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376102339
Report Date: 01/22/2025
Date Signed: 01/22/2025 02:55:28 PM

Document Has Been Signed on 01/22/2025 02:55 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
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:GUTIERREZ, DANIELLE FAMILY CHILD CAREFACILITY NUMBER:
376102339
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
01/22/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Gutierrez, DanielleTIME VISIT/
INSPECTION COMPLETED:
03:10 PM
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On 1/22/25 at 1:40 PM, Licensing Program Analysts (LPA’s) Adriana Macias and Sharon Mendez, conducted an unannounced case management inspection in reference to the licensee’s request of an increase of capacity. LPAs met with Licensee Danielle Gutierrez and also present were 6 children from day care. Four school age children were napping and 2 infants were playing in Day Care Room. Also present was helper Savannah Conn. Licensee was advised to stay within ratio, even if the children where napping. This visit is to verify that the licensee remains in substantial compliance with the health & safety standards as required by regulations governing large family childcare homes. Licensee has all appropriate forms posted. LPA confirmed with licensee that all adults residing/working in the home have criminal record/TB clearances. The home appears to be large enough to comfortably accommodate 14 children.

Fire clearance was granted and received from the San Diego Fire Department on 1/14/25.

LPA toured the 1 floor, single family home and licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for childcare are the Daycare Room, Kitchen, Living Room, Bedroom 1, Bedroom 2, Master Bedroom, and Backyard. Off limit areas are the Garage and Master Bathroom and are inaccessible by use of doorknob covers and locks. Backyard is fully fenced and accessible for outdoor activities. The fire extinguisher, smoke detector, and carbon monoxide detector meet requirements and are operational. All hazardous items were latched/locked and secured out of reach of children. There are no bodies of water in the home and licensee states that there are no weapons in the home.

(Cont. on LIC 809C)

SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO N. CC RO, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: GUTIERREZ, DANIELLE FAMILY CHILD CARE
FACILITY NUMBER: 376102339
VISIT DATE: 01/22/2025
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Licensee’s First Aid and CPR certifications expire on October 2025 and helper’s First Aid and CPR certifications expire on 09/26/26. Licensee and helper’s required immunizations are on file. Licensee’s Mandated Reporter Certificate expires on 9/26/25, and helpers Mandated Reporter Certificate Expires on 9/11/25.

Provider is hereby reminded of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms; corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care. All equipment that is used should be used only as intended by the manufacturer.

No corrections are needed. Licensee did not obtain a Landlord Consent Form (LIC 9149), therefore, a license for 12 children may be granted upon final file review. Applicant agreed to comply with all regulations and laws governing family child-care homes.

Exit interview conducted and report was reviewed with the licensee Danielle Gutierrez. Appeal Right were also printed and issued to licensee.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Adriana Macias
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC809 (FAS) - (06/04)
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