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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300276
Report Date: 02/16/2022
Date Signed: 02/16/2022 11:50:49 AM


Document Has Been Signed on 02/16/2022 11:50 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:EDIGIN FAMILY CHILD CAREFACILITY NUMBER:
336300276
ADMINISTRATOR:EDIGIN,EUNICEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(949) 545-3171
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:14CENSUS: 5DATE:
02/16/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Eunice Edigin, LicenseeTIME COMPLETED:
11:50 AM
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On the above date and time, Licensing Program Analysts (LPAs) Susan Brewer and James Wilkerson, arrived unannounced. A case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. LPAs conducted a COVID-19 pre-screening, were granted entry to tour the facility inside and out.
The UIR was received by the licensing agency on 01/19/2022 at which time the licensee Eunice Edigin, voluntarily implemented a precautionary closure until 01/24/2022. Facility children's records were reviewed and interviews were conducted with the Licensee Eunice Edigen and Staff 1. The facility has implemented and followed an emergency plan and communicated the plan with parents for children in care. Based on information gathered, the facility acted appropriately and no violations have been identified.

Appeal Rights were reviewed and a copy was left with the Licensee Eunice Edigin.

A Notice of Site Visit was issued and was posted in the presence of the LPAs, and must remain posted for 30 days.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2022
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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