<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334812266
Report Date: 02/16/2022
Date Signed: 02/16/2022 09:29:37 AM


Document Has Been Signed on 02/16/2022 09:29 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:HARRIS FAMILY CHILD CAREFACILITY NUMBER:
334812266
ADMINISTRATOR:HARRIS,KIMBERLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 518-8744
CITY:CORONASTATE: CAZIP CODE:
92881
CAPACITY:14CENSUS: 5DATE:
02/16/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Licensee - Kimberly Harris TIME COMPLETED:
09:40 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Due to COVID-19, on 02/16/2022 Licensing Program Analyst (LPA) Corral conducted a Case Management Inspection to provide Technical Assistance to the Facility. Facility was temporarily closed due to COVID-19 from 09/03/2021 - 09/12/2021 and reopened on 09/13/2021. LPA Corral met with Licensee Kimberly Harris. A tour of the facility was conducted and a census was taken.

During the inspection, LPA reviewed and discussed COVID-19 guidelines, resources, and postings with Licensee. COVID-19 information was posted in the front entrance door regarding COVID-19. The Licensee was advised to follow the childcare industry guidelines on face coverings, sanitation and other infection prevention measures.

During today’s inspection the following resources were discussed and provided:
· Community Care Licensing Division’s COVID 19 Information and Resources: https://www.cdss.ca.gov/inforesources/community-care-licensing

· CDPH’s Guidance for Child Care Providers and Programs - updated June 29, 2021: www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Child-Care-Guidance.aspx

· Cal-OSHA - revisions are effective starting on January 17, 2022: https://www.dir.ca.gov/dosh/coronavirus/ETS.html

Local Public Health Information
· Riverside County Public Health:
Tel: (951) 358-5000
Website: https://www.rivcoph.org/
Continue to Page 2.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Eileen CorralTELEPHONE: 951-233-7183
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2022
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 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: HARRIS FAMILY CHILD CARE
FACILITY NUMBER: 334812266
VISIT DATE: 02/16/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 2.
· San Bernardino County Public Health
Tel: (909) 381-8990
Website: http://wp.sbcounty.gov/dph/

Local Resource and Referral Agencies
· Riverside County Office of Education (RCOE):
Tel: (800) 442-4927
Website: https://www.rcoe.us/departments/early-learning-services/early-care-and-education

· Child Care Resource Center (CCRC):
Tel: (909) 384-8000
Website: https://www.ccrcca.org/

· Licensee was advised to report an Unusual Incident Report (UIR) and fax/scan a completed UIR form (within 24 hours of incident), to the Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov or fax to 951-782-4985. Form LIC624B (Family Child Care).

· You may also contact the Duty Officer at 951-782-4200

· In addition, Provider Information Notices (PIN's) and other resources regarding COVID-19 can be found on our website at: www.cdss.ca.gov

No deficiency was cited during this inspection.

An exit interview was conducted with Licensee Kimberly Harris. LPA provided Licensee with a copy of this report and a Notice of Site Visit.

End of Report.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Eileen CorralTELEPHONE: 951-233-7183
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2