334845558-12-4-2019-10-CC-SBRR-BJJTTJ-20191204140049

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334845558
Report Date: 12/04/2019
Date Signed: 12/04/2019 02:00:56 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:	BERMUDEZ FAMILY CHILD CARE		FACILITY NUMBER:	334845558
ADMINISTRATOR:	BERMUDEZ, ALMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 658-4566
CITY:	HEMET	STATE: CA	ZIP CODE:	92545
CAPACITY:	14	CENSUS: 3	DATE:	12/04/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:48 PM
MET WITH:	Alma Bermudez, Licensee		TIME COMPLETED:	02:10 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	on 12/04/2019 at 12:48 PM, Licensing Program Analyst (LPA) Susan Brewer, arrive at the facility for the purpose of a Case Management visit, initiated by the Licensee Alma Bermudez. LPA was greeted by the Licensee's Spouse Arturo Bermudez, and allowed entry into the home. Mr. Bermudez, indicated the Licensee A. Bermudez, was temporarily away from the facility due to picking up other day-care children and on her way back. LPA took a census of 2 children present. 1:15 PM Licensee Alma Bermudez, arrived at the facility with a day-care child. The Licensee Alma Bermudez, contacted LPA S.Brewer, in early November 2019 to inform licensing that she and her husband, were planning to open the garage for day-care use and would be converting the garage into an activity room. The intent is to have a room available for day-care use when it is too hot or cold for day-care children to play outside. The licensee submitted pictures of the project and areas where the water heater, washer, dryer and household products would be stored. 1:26 PM LPA S.Brewer, inspected the garage and the secured areas and verified that the appliances and household items in the garage room are secured for day-care use under lock and key. LPA reminded Licensee A. Bermudez, that the garage is not suitable for sleeping, napping or dining accommodations for day-care children. The licensee will also have to maintain that the garage be kept pest and rodent free. The licensee confirmed that she understands licensing standards for these accommodations. During the exit interview on 12/04/2019, the Licensee Alma Bermudez, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. Licensee Alma Bermudez, confirmed that there are NO GUNS, AMMUNITION OR HAZARDOUS WEAPONS AT THE FACILITY AND IF SHE DECIDES TO OBTAIN A GUN WEAPON OR AMMUNITION, SHE WILL CONTACT LICENSING TO REPORT OWNERSHIP.

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019

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: BERMUDEZ FAMILY CHILD CARE	FACILITY NUMBER: 334845558
	VISIT DATE: 12/04/2019

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As a REMINDER: when your child(ren) turn 18 years of age, you MUST SUBMIT an updated LIC279, LIC508 and TB Screen and have your child submit for LIVESCAN background clearance. This also applies to any adult PRIOR to them moving into the home or who currently lives in the home. Also, PRIOR to employment of any adult, you must submit the LIC508, TB screening and obtain a background clearance through LIVESCAN.

No Citations were issued on 12/04/2019.

A NOTICE OF SITE VISIT WAS ISSUED. LPA observed the licensee post the Notice of site visit while at the facility.

A copy of this report was reviewed and provided to Licensee Alma Bermudez, and a copy must be made available upon request, to the public, for 3 years.

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019

LIC809 (FAS) - (06/04)

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