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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842698
Report Date: 10/20/2021
Date Signed: 10/20/2021 03:47:48 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:BROOKS FAMILY CHILD CAREFACILITY NUMBER:
334842698
ADMINISTRATOR:BROOKS, LOUQUITDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 207-8320
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY:14CENSUS: 0DATE:
10/20/2021
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:LOUQUITDA BROOKS - lICENSEETIME COMPLETED:
03:46 PM
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A non-compliance conference/meeting was held in the Riverside Child Care Regional Office on 10/20/21. Present in the conference/meeting were Licensee, Louquitda Brooks, Regional Manager (RM) Lya Johnson, Licensing Program Managers (LPMs) Carlos Martinez, Pauline Beschorner and Licensing Program Analyst (LPA) Sumayya Habeebulla.

During the conference, compliance history was discussed, as well as the facility’s most recent issues/violations pertaining to the following, per Title 22 Regulations:

- Personal Rights

- Reporting Requirement

- Food Service

- Emergency Response

The Licensee disclosed that the following measures have been taken:

- Reporting Requirement – Licensee understands the regulation regarding the reporting requirements and stated she will be reaching out to Resource and Referral - RCOE

- Food Service – Licensee stated she has changed the Lunch routine, added tables and bar stools. Children are no longer eating off trays.

- Emergency Response – Licensee will be reviewing the first aid manual.

SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya HabeebullaTELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
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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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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: BROOKS FAMILY CHILD CARE
FACILITY NUMBER: 334842698
VISIT DATE: 10/20/2021
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The Facility’s noncompliance history was reviewed during the meeting. Licensee agrees to ensure that the facility is operating in compliance of California Code of Regulations Title 22, Division 12, Chapter 1. Licensee was advised to visit the Department’s website www.ccld.ca.gov on a regular basis for licensing updates and self-assessment tools, as well as how to obtain additional training and subscribe to childcareadvocatesprogram@dss.ca.gov to receive Department updates.

In addition, the following resources/information was provided:

· Resources that include Quarterly Updates, Self-Assessment Guides, Training videos regarding various sections of Title 22 are online at www.cdss.ca.gov/inforesources/Community-Care-Licensing.

· Access Duty Officer and assigned LPA at (951) 782-4200

The Licensee agrees to contact Riverside Child Care Resource Center/Resource and Referral to participate in formal training regarding Personal Rights, and Care and Supervision required in Operating a Family Child Care Home. The Licensee was also provided with copies of the following regulations: Personal Rights, Care and Supervision, Reporting Requirements. Licensee was provided a 90 days to complete a training.

Louquitda Brooks, Licensee, has been advised that continued occurrences may result in a Legal Consultation regarding the facility’s operation.

A copy of this report was provided to the Licensee on this date.

SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Sumayya HabeebullaTELEPHONE: 951-201-1991
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021
LIC809 (FAS) - (06/04)
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