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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334816521
Report Date: 09/23/2022
Date Signed: 09/23/2022 09:26:56 AM


Document Has Been Signed on 09/23/2022 09:26 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 STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:LEE FAMILY CHILD CAREFACILITY NUMBER:
334816521
ADMINISTRATOR:LEE, OMARRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 242-8872
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92551
CAPACITY:14CENSUS: 3DATE:
09/23/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
08:31 AM
MET WITH:Omara Lee TIME COMPLETED:
09:36 AM
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On September 23, 2022, Licensing Program Analyst (LPA) Anastasia Flores conducted an unannounced Required Legal Non-Compliance Case Management visit regarding the Lee Family Child Care. The facility was placed on required visits during a Non-Compliance Office Meeting, that took place on March 22,2021 due to concerns associated with the facility repeat violations. A Required Comprehensive Inspection visit was previously conducted on 12/02/2021.

LPA Flores met with Licensee Omara Lee, toured the facility and conducted census. Appropriate care and supervision was observed during this visit:

NO DEFICIENCIES CITED DURING THIS VISIT.

An exit interview was conducted, A Notice of Site visit was posted and a copy of this report was provided to Licensee.

SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia FloresTELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:
DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/15/2022
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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