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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845868
Report Date: 07/06/2021
Date Signed: 07/06/2021 03:05:50 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:HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
334845868
ADMINISTRATOR:HERNANDEZ,KARLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 600-0383
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 0DATE:
07/06/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Karla HernandezTIME COMPLETED:
03:15 PM
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On 7/6/2021, Licensing Program Analysts (LPAs) Samuel Lopez and Blanca Ruiz-Silva arrived at the facility to conduct a Case Management inspection in order to activate the facility license. On 6/15/2021 a Type A deficiency. The facility was given a deficiency for not having a fence/gate surrounding the pool. The licensee place a temporary fence around the pool, to assure the safety of the children in care, which was observed during a separate inspection conducted on 6/17/2021.

During the inspection on 6/17/2021, 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, on 6/17/2021, the Licensee agreed to place her license on Inactive status, until the permanent fencing/gate was installed, and it was approved by the Department.

During today's inspection, 7/6/2021, the LPAs observed the following: The pool is fenced by wrought iron. The fence is five foot, in height, and the bars in between are no greater than four inches apart. The gate/door swings away from the pool and it's self latching/closing. The only issues were on the west and north sides/ends, where the fence meets the neighbors' block walls. Underneath these areas, there is a clearance greater than five inches, between the ground and the bottom of the fence. The licensee agrees to decrease the gaps in each area and submit proof/pictures the Department. The Licensee was advised that once the pictures are received, reviewed, and approved, at that time, the license will be activated.

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: 07/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2021
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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