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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376601951
Report Date: 08/28/2023
Date Signed: 08/28/2023 12:19:10 PM

Document Has Been Signed on 08/28/2023 12:19 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
MISSION VALLEY, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:JONES, BRENDA FAMILY DAY CAREFACILITY NUMBER:
376601951
ADMINISTRATOR:BRENDA JONESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 847-6980
CITY:SAN DIEGOSTATE: CAZIP CODE:
92114
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
08/28/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Licensee Brenda JonesTIME COMPLETED:
10:35 AM
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On 08/28/2023 at 9:45 am, Licensing Program Analyst (LPA), Michelle Hood attempted to conduct an unannounced Annual Required Inspection and met with Licensee Brenda Jones. Per the licensee, she has not been caring for children. The LPA was unable to conduct the inspection due to the licensee is in the process of having some flooring replaced. There were workers coming in and out of the facility.

The LPA and licensee discussed the spouse's pending fingerprint clearance. The spouse was cleared prior; however, an exemption is required. The licensee is a foster caring provider. The licensees spouse provided paperwork to the foster care department; however, the licensee is unsure if the same paperwork was submitted to licensing. The LPA will contact Guardian for further clarification. The licensee will not care for children until the clearance is resolved.

The LPA and licensee discussed an inactive status, as well as overdue fees.

An exit interview was conducted, and the report was reviewed with the licensee Brenda Jones. The licensing report will be e-mailed to the licensee and the licensee was advised that acknowledgment of receipt of the report and appeal rights (LIC 9058 12/15) are to be received within twenty-four hours. LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. No deficiencies were cited.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Michelle Hood
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2023
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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