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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844379
Report Date: 04/13/2022
Date Signed: 04/13/2022 10:47:15 AM


Document Has Been Signed on 04/13/2022 10:47 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:BROUWERS FAMILY CHILD CAREFACILITY NUMBER:
334844379
ADMINISTRATOR:BRONWYN BROUWERSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 207-3675
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:14CENSUS: 10DATE:
04/13/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Licensee Bronwyn BrouwersTIME COMPLETED:
10:55 AM
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On 04/13/2022 Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility for the purpose of conducting a Case Management Inspection at the request of the Licensee . LPA was greeted by Licensee Bronwyn Brouwers. The licensee recently had an in-ground pool installed in the outdoor play area, which required an inspection. Present were two staff, 1 minor resident and a census was taken of 10 children in care.
Normal days and hours of operation are Monday- Friday, 8:00 AM to 5:00 PM; OFF-LIMIT AREAS INCLUDE: Upstairs, Garage and Pool Area, Trampoline and Skateboard Ramp.

The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains.

The facility is operating within the licensed capacity and appropriate ratios. The Licensee is present in the home and has ensured that children in care are supervised. When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children. A working telephone is present. Appropriate fire extinguisher, smoke detector and carbon monoxide detector are present and were tested by the Licensee during this inspection 04/13/2022. Documentation of fire & earthquake drills to be conducted every six months: Last drill on 03/22/2022, at 10:20 AM with 8 children present and went to neighbors home.



There are bodies of water on 04/22/2022. Licensee Bronwyn Brouwers, understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 regulations. The Department was notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position. The pool fencing is made of wrought iron and has two self-latching gates that are in compliance with Title 22 regulations. Deficiencies not cited this visit.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:
DATE: 04/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/13/2022
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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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: BROUWERS FAMILY CHILD CARE
FACILITY NUMBER: 334844379
VISIT DATE: 04/13/2022
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SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 04/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2022
LIC809 (FAS) - (06/04)
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