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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845768
Report Date: 03/11/2020
Date Signed: 03/11/2020 03:35:17 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:HUAZANO FAMILY CHILD CAREFACILITY NUMBER:
334845768
ADMINISTRATOR:HUAZANO,CESARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 609-1257
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 0DATE:
03/11/2020
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Cesar Huazano and Jasmin CejaTIME COMPLETED:
03:35 PM
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On date and time listed, Regional Manager (RM) Reynauldo Pennywell, Licensing Program Manager (LPM) Aaron Ross and Licensing Program Analysts (LPAs) John Huynh and Elyse Jones conducted a meeting held in the Riverside Child Care Regional Office and met with Licensee Jasmin Ceja and Applicant Cesar Huazano. The conference focused on the following items:

1. Pending Family Child Care application
2. Operation of a Family Child Care Home
3. Licensee and Applicant's Responsibility and Department's Expectations/Goals.
4. Association, Roles and Responsibilities of adults/assistants in the home
  • The Applicant will submit a written letter informing the Department that he resides in the home and will list all other adults, if any, that also reside in the home. Letter must be submitted to the Department on or before March 20, 2020.


The applicant was informed that licensing form (LIC 279) Family Child Care Application must be updated if/when an adult resides in the home. The applicant was also informed that he will be notified within the next 30 days of the license status of the pending application.

Final application response in the next 30 days.


Applicant Cesar Huazano understood and agreed.

An exit interview was conducted, and a copy of this report was provided to the Licensee and Applicant.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse JonesTELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
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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