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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334840838
Report Date: 02/13/2020
Date Signed: 02/18/2020 02:52:23 PM

COMPREHENSIVE INSPECTION
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:RAMIREZ FAMILY CHILD CAREFACILITY NUMBER:
334840838
ADMINISTRATOR:RAMIREZ, CATHYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 805-8369
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:14CENSUS: 0DATE:
02/13/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
04:20 PM
MET WITH:CATHY RAMIREZTIME COMPLETED:
05:01 PM
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PLEASE NOTE: ON 2/13/20 THIS REPORT WAS MADE IN ERROR UNDER THE WRONG FACILITY NUMBER WITH THE SAME LAST NAME. DISREGARD THIS REPORT, THIS REPORT IS NOT APPLICABLE TO THIS FACILITY.





On date and time listed, Licensing Program Analyst (LPA) Sean Williams arrived at the facility to conduct an annual inspection. Licensee stated she has been closed since December 20, 2019. There were no children present, and the licensee was making repairs to the home. Licensee stated she was contemplating closing her facility. LPA Williams explained to licensee that Community Care Licensing must be notified for any changes. Licensee stated she does not plan on providing care for children from today through June of 2020. LPA Williams provided licensee with a LIC9211( Request for Inactive Child Care License). Licensee will notify LPA Williams if she decides to go on inactive status or close her facility by June 30. Licensee stated the home repairs should be completed by June of 2020, if she decides to open sooner she will notify LPA Williams.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Sean R WilliamsTELEPHONE: (951) 204-2046
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2020
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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