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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376620696
Report Date: 02/10/2025
Date Signed: 02/10/2025 02:57:58 PM

Document Has Been Signed on 02/10/2025 02:57 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 CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:PEREZ, ELENA FAMILY CHILD CAREFACILITY NUMBER:
376620696
ADMINISTRATOR/
DIRECTOR:		ELENA PEREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 248-0747
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY: 14TOTAL ENROLLED CHILDREN: 2CENSUS: 2DATE:
02/10/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Elena PerezTIME VISIT/
INSPECTION COMPLETED:
12:35 PM
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On February 10, 2025 @ 10:30 a.m., Licensing Program Analyst (LPA) Angela Nguyen conducted an unannounced Annual/ Random Inspection and met with the Licensee, Elena Perez. LPA disclosed the purpose of the inspection and was granted facility entry by the Licensee. Present during the inspection was one (1) infant day care child. At 11:20 a.m., an additional day care child arrived. This facility is a 3-bedroom, 2-bathroom single story home. Licensee accompanied LPA during this inspection. The following areas used for childcare: Day care room with included bathroom, kitchen, living room, and backyard. The off-limit areas: All 3-bedroom, one included bathroom within bedroom, and garage. The off-limit areas are made inaccessible by the use of doorknob covers and child proof gates. Licensee stated her hours of operation: Monday- Friday, 6:00 a.m.- 6:00 p.m.

The fire extinguisher (3A:40:B:C) and combination smoke and carbon monoxide detector are operational. Hazardous items were observed inaccessible to children during this inspection. Children’s toys and play equipment are available and observed free of hazards. Licensee uses the fully fenced backyard for outdoor play. Licensee was reminded supervision is to be given to children whenever engaged in outdoor activities. Licensee stated there is fountain located in the backyard. LPA observed the fountain surrounded by plants inaccessible to children. Licensee stated there are no weapons in the home. LPA observed a fireplace with a safety screen in the home. Licensee serves 3 meals a day containing all the food groups to the children in care. Menus are posted weekly.

Licensee’s First Aid and CPR certifications expire in 10/2025. Mandated Reporter Training expire on 2/2026. Licensee has required immunizations. LPA reminded licensee that Pediatric CPR/ First aid and Mandated Reporter Training expires every 2 years and shall be kept on file at the facility. The facility roster is maintained and was reviewed. Last fire drill was conducted on 1/16/2025 and earthquake drill was conducted on 1/15/2025.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Angela Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: PEREZ, ELENA FAMILY CHILD CARE
FACILITY NUMBER: 376620696
VISIT DATE: 02/10/2025
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
Licensee stated Incidental Medical Services (IMS) policy was reviewed with LPA. LPA reviewed IMS plan in facility file. Information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing 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: https://www.ada.gov/resources/child-care-centers/.

Licensee and LPA discussed the facility emergency disaster plan, LIC 311D, safety of children. LPA reminded Licensee of the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, Elena Perez, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Angela Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
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 CC RO, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: PEREZ, ELENA FAMILY CHILD CARE
FACILITY NUMBER: 376620696
VISIT DATE: 02/10/2025
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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

No deficiencies were cited during this inspection.

An exit interview was conducted with the licensee. The licensee was provided a Notice of Site Visit (LIC 9213) and their signature on this form acknowledges receipt of these rights. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Angela Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
LIC809 (FAS) - (06/04)
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