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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845868
Report Date: 06/17/2021
Date Signed: 06/17/2021 08:53:01 AM

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:HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
334845868
ADMINISTRATOR:HERNANDEZ,KARLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 600-0383
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 0DATE:
06/17/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
07:19 AM
MET WITH:Karla HernandezTIME COMPLETED:
09:00 AM
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On 6/17/2021, Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct a Plan of Correction inspection related to the Type A deficiency given on the previous visit (6/15/2021). On that date, the facility was given a deficiency for not having a fence/gate surrounding the pool. The licensee had agreed to place a temporary fence around the pool, to assure the safety of the children in care.

During today's inspection, LPA Lopez observed and inspected the temporary fence. The long side of the fence is being anchored down by patio furniture, which allows the fence to be pulled up, just enough to gain access. The short side, has four iron stakes anchoring the fencing however, all the fencing is not secured to the stakes, allowing access underneath, as well.

Due to the fencing not meeting Title 22 regulations, at this time, the Licensee has agreed to place her license on Inactive status, until the permanent fencing/gate is installed, and it is approved by the Department.

Licensee completed and signed the Request for Inactive Child Care License Status (LIC 9211) and provided it to LPA Lopez for processing. According to the Licensee she understood the conditions that must be followed while her license in Inactive.

An exit interview was conducted and a copy of this report was provided to the Licensee.

This report must be made available to the public, upon their request, for a period of three years.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2021
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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