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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376101190
Report Date: 12/12/2023
Date Signed: 12/12/2023 03:01:55 PM

Document Has Been Signed on 12/12/2023 03:01 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:DUQUE, CLAUDIA FAMILY CHILD CAREFACILITY NUMBER:
376101190
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
12/12/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Claudia DuqueTIME COMPLETED:
03:10 PM
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On 12/12/23 at 2:30 PM, Licensing Program Analyst (LPA) Keturah Lane conducted an unannounced inspection for a capacity increase with the Licensee. Upon arrival, LPA met with Licensee Claudia Duque and provided the Inspection Checklist (LIC126). The one-story home was toured and inspected to ensure an environment safe for the care and supervision of children. Present were the Licensee, Licensee’s husband/helper John Fornari and 5 daycare children include 3 infants. The fire extinguisher, carbon monoxide detector, and smoke 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 on the property. Licensee states that there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions.

Licensee has provided adequate space for the children to eat, sleep and play within the home. Areas used for childcare include: living room, kitchen, bathroom 1, guest room 1, guest room 2, and salon. The following areas will be off limits: office, laundry room and master bedroom with additional smaller bathroom inside and are inaccessible through use of door-knob covers and door locks. Licensee updated facility sketch to make master bedroom and the inside smaller bathroom off-limits today. The fireplace is screened. There is a working phone at the facility. The Licensee has sufficient age appropriate and safe toys/equipment available. The home has a fully fenced backyard available for outdoor activities. (continued on LIC809-C...)
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2023
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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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: DUQUE, CLAUDIA FAMILY CHILD CARE
FACILITY NUMBER: 376101190
VISIT DATE: 12/12/2023
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Licensee has obtained landlord consent to care for 14 children. Verification of control of property and landlord notification are on file. The home appears to be large enough to comfortably accommodate 14 children. Fire clearance was received on 9/18/23. Licensee and Helper’s First Aid and CPR certifications expire on 5/2025. Licensee and staff meet immunization requirements and have completed the Mandated Reporter Training which expires 6/6/24 (Licensee) and 7/31/24 (Helper).

No deficiencies are cited. No corrections are needed; a license for 14 may be issued 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 Claudia Duque. Notice of Site Visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Tashima Daniel
LICENSING EVALUATOR NAME: Keturah Lane
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023
LIC809 (FAS) - (06/04)
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