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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364819401
Report Date: 03/09/2021
Date Signed: 03/09/2021 01:52:36 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:BURROLA FAMILY CHILD CAREFACILITY NUMBER:
364819401
ADMINISTRATOR:BURROLA, RACHELEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 953-0099
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:14CENSUS: 0DATE:
03/09/2021
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Rachele BurrolaTIME COMPLETED:
02:00 PM
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Due to COVID-19, an Informal Tele-Conference was held via Microsoft Teams on
March 9, 2021. Present were the Licensee, Rachele Burrola, Licensing Program Manager (LPM), Kimberly Williams, and Licensing Program Analysts (LPAs), Taadhimeka Zeigler and Laura Landeros.

The conference was held to discuss the following sections of Title 22 Regulations:

1. Personal Rights 102423
2. Operation of a Family Child Care Home 102417

Licensee's compliance history was reviewed during this conference. Licensee's responsibilities and accountability were also reviewed with the Licensee during the conference. LPM Williams reminded Ms. Burrola of how important regulatory compliance is in licensed facilities to protect the Health and Safety of children in care. Ms. Burrola has been informed the Licensing Agency takes these violations seriously, and how the violations can lead to a Non-Compliance Conference and/or the Department seeking legal consultation regarding the status of the license.

Licensee agrees to ensure that the facility is operating in substantial compliance of California Code of Regulations Title 22, Division 12, Chapter 1. Licensee was advised to visit the Department's website at www.cdss.ca.gov on a regular basis for licensing updates, self-assessment tools, quarterly updates, and provider information notices (PIN). Licensee is also advised to review child care videos for providers and parents at https://ccld.childcarevideos.org/, and to contact the duty officer at (951) 782-4200 for any questions or concerns.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BURROLA FAMILY CHILD CARE
FACILITY NUMBER: 364819401
VISIT DATE: 03/09/2021
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Licensee also agrees to train staff on Personal Rights and Operation of a Family Child Care Home to ensure continued compliance with regulations.

An exit interview was conducted via Microsoft Teams. LPA Zeigler provided the Licensee with a copy of this report via email with an electronic “read receipt”. The electronic read receipt of the emailed report acknowledges receipt of this report. A copy of this report was emailed to the Licensee during this Tele-Conference on March 9, 2021.

A copy of the report shall be made available for public review for three years.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2021
LIC809 (FAS) - (06/04)
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