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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843546
Report Date: 12/21/2023
Date Signed: 12/21/2023 02:56:21 PM


Document Has Been Signed on 12/21/2023 02:56 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:VILLANUEVA FAMILY CHILD CAREFACILITY NUMBER:
364843546
ADMINISTRATOR:VILLANUEVA, ROCIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 492-3148
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY:14CENSUS: 9DATE:
12/21/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Rocio Villanueva, LicenseeTIME COMPLETED:
03:00 PM
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On 12/21/2023 at 2:15 PM, Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conduct a case management inspection. LPA met with Licensee Rocio Villanueva. A case management inspection was conducted in response to the receipt of an Unusual Incident Report (UIR) from the Licensee. The UIR was received by the licensing agency on 11/20/2023. The reported incident took place on 11/20/2023.

The UIR documented an incident where there was a fire that took place in a off limit area of the facility's backyard. The off limit area is fenced off to the children's play area. This was a self reported incident, and no children or other persons were affected. The play area for children in the backyard was not affected and is safe for play.

During today's visit, LPA investigated the incident, licensee was interviewed, a tour/census was taken, and the following was disclosed.


Licensee stated that once she saw the fire, she immediately took the 8 children in care outside to the front of the facility. Further, Licensee stated that she then took the children in care across the street to the neighbor's house. Licensee stated that she called 911 at 9:37 AM. Licensee also stated that all children in care were picked up by parents/authorized representatives by 10:30 AM.

Based on the information obtained, there appeared to be no violations of Title 22 Regulations pertaining to the reported incident at this time. LPA conducted an exit interview with Licensee Rocio Villanueva, and provided a copy of this report. A Notice of Site Visit was issued and must remain posted for the next 30 days.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Raymond MooreheadTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 12/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/21/2023
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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