<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364808588
Report Date: 11/08/2023
Date Signed: 11/08/2023 02:23:24 PM


Document Has Been Signed on 11/08/2023 02:23 PM - 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 ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:MARQUEZ FAMILY CHILD CAREFACILITY NUMBER:
364808588
ADMINISTRATOR:MARQUEZ, EUGENIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 673-1856
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY:14CENSUS: 0DATE:
11/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:04 PM
MET WITH:Eugenia MarquezTIME COMPLETED:
02:35 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 this date and time, Licensing Program Analysts (LPAs) Laura Mejorado and Taityana Benson arrived at the facility to conduct a required/annual inspection as part of a compliance review. LPAs met with Licensee Eugenia Marquez.

Licensee stated they are currently not operating and have not had children in care for over a year. LPAs informed Licensee of their option to place their license on inactive status. Licensee stated they want to place their license on inactive status. LPA provided information regarding inactive status and Licensee filled out Request for Inactive Child Care License Status (LIC9211) during the visit, requesting to go inactive effective today. Licensee understands an inspection is necessary prior to re-opening the facility and will contact the assigned analyst prior to re-opening the facility to request an inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the licensee Eugenia Marquez.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura MejoradoTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1