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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376615622
Report Date: 07/17/2023
Date Signed: 07/17/2023 01:28:33 PM

Document Has Been Signed on 07/17/2023 01:28 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CORONADO, SUSAN FAMILY CHILD CAREFACILITY NUMBER:
376615622
ADMINISTRATOR:SUSAN CORONADOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 941-7366
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
07/17/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:03 PM
MET WITH:Susan CoronadoTIME COMPLETED:
01:35 PM
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On July 17, 2023 at 1:03 PM Licensing Program Analyst (LPA) Cindy Hamilton and Licensing Program Manager LPM) Carlos Martinez conducted an unannounced case management inspection at FCCH. The purpose of the inspection was to do plan of correction visit for pool fencing compliance. LPA and LPM inspected the pool fencing with licensee and pictures were taken. Licensee replaced chain link fencing with mesh pool fencing. The fencing does not meet Title 22 regulations at this time and backyard will remain off limits..

An exit interview was conducted, this report, appeal rights and notice of site visit was provided to licensee.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 07/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2023
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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