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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376613772
Report Date: 09/01/2022
Date Signed: 09/01/2022 10:18:16 AM

Document Has Been Signed on 09/01/2022 10:18 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
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:FELICIANO, CECILIA FAMILY CHILD CAREFACILITY NUMBER:
376613772
ADMINISTRATOR:CECILIA FELICIANOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(858) 578-3923
CITY:SAN DIEGOSTATE: CAZIP CODE:
92126
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
09/01/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Cecilia FelicianoTIME COMPLETED:
10:25 AM
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On 9/1/2022 @ 9:50AM, LPA Nancy Diaz conducted an unannounced inspection. The purpose of this inspection is to observe corrections to deficiencies cited on 8/25/2022.

LPA observed 7 children present today (4 children were under age two) with Mrs. Feliciano and helper Lina Sario.

The following corrections were observed today:
1. 102416.5(d)(1) - Ratio - observed corrected. There were 7 children with 4 children under age two present today.
2. 1596.8662(b)(1) - Mandated Reporter Training Certificate - Licensee, her husband Richard Feliciano and Lina Sario completed the training on 8/26/2022.
3. 1597.622(c) - Immunization record - Mrs. Feliciano obtained a copy of Mrs. Sario's immunization record.
4. 102425(j)(2)(D)(c) - Observed today were nap logs maintained for 4 children (under age two).

No deficiency observed today.
Exit interview was conducted with Mrs. Feliciano. A copy of this report and appeal rights were provided. Notice of site visit was provided and observed posted.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/01/2022
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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