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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334820465
Report Date: 08/21/2020
Date Signed: 08/21/2020 01:42:19 PM

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:ESTRADA FAMILY CHILD CAREFACILITY NUMBER:
334820465
ADMINISTRATOR:NANCY ESTRADAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 549-6584
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY:14CENSUS: 13DATE:
08/21/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Nancy EstradaTIME COMPLETED:
01:45 PM
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August 21, 2020 Due to COVID-19, Licensing Program Analyst (LPA) Justin Giese conducted a Licensee initiated Case Management Tele-inspection with Licensee Nancy Estrada. LPA met with the Licensee via FaceTime. Licensee's spare bedroom was previously off limits to daycare children. Licensee has requested to make the spare bedroom on-limits for daycare children for usage as a computer or distance learning space. Licensee submitted updated LIC999A, Facility Sketch to LPA Giese via email detailing the floorplan of the facility highlighting the new space as being “on limits” to daycare children.

LPA Giese toured the facility and assessed the newly appointed on limits computer room for safety and hazards. LPA did not observe any safety hazards in the computer room. It is now suitable for use by daycare children.

At the time of visit no deficiencies were cited

An exit interview was conducted, LPA Giese provided Nancy Estrada, Licensee with a copy of this report via email with an electronic “read receipt”. The electronic read receipt of the emailed report acknowledges receipt of this report. A copy of this report was emailed to Licensee during this Tele-inspection on August 21, 2020.

A copy of this report must be made available to the public upon request for three years.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2020
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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