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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376613772
Report Date: 05/15/2023
Date Signed: 05/15/2023 11:57:26 AM

Document Has Been Signed on 05/15/2023 11:57 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: 11DATE:
05/15/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Cecilia FelicianoTIME COMPLETED:
12:00 PM
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On 5/15/2023 @ 11:25AM, Licensing Program Analyst (LPA) Nancy Diaz conducted an unannounced inspection. Mrs. Feliciano was home today with her helper Lina Sario, supervising 11 daycare children (4 of the children were under age two).

LPA toured the facility and reviewed children's records today. Infant sleep plans and sleep logs were reviewed today. Mrs. Feliciano was reminded that all entries on the nap sleep log must be initial'd by the person conducting the 15-minute checks.

No deficiency observed today.

Exit interview was conducted with Mrs. Feliciano. Copy of the licensing report and notice of site visit were provided today. Notice of site visit was observed posted and must remain posted for 30 days.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Nancy Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2023
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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