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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844633
Report Date: 06/14/2022
Date Signed: 06/14/2022 10:11:53 AM


Document Has Been Signed on 06/14/2022 10:11 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 ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:BROOKS-THOMPSON FAMILY CHILD CAREFACILITY NUMBER:
364844633
ADMINISTRATOR:BROOKS-THOMPSON,NIKIDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 434-5877
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:14CENSUS: 4DATE:
06/14/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Nikeda Brooks-ThompsonTIME COMPLETED:
10:15 AM
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On 06/14/2022 at time listed above Licensing Program Analyst (LPA) Justin Giese made an announced Licensee initiated Case management visit to the facility. LPA was granted entry by Licensee Nikeda Brooks-Thompson.

Licensee contacted LPA on 06/09/2022 to inform they had completed construction on an enclosed back patio area to the facility. Licensee stated the newly enclosed patio area will be utilized as on-limits day care play area.

LPA Giese toured the facility and assessed the newly appointed on limits enclosed patio for potential safety hazards. LPA observed a large concrete pad with enclosed walls with sliding glass door, windows, foam floor tiles for cushioning, and furniture available for seating. Licensee has a utility shed in the back corner of the yard, LPA verified the shed is key locked and off limits to children in care. LPA did not observe any hazardous posed by any plants, structures, or furniture in the back yard.

An exit interview was conducted, LPA Giese provided Licensee with a copy of this report.

Notice of site visit was provided and was posted in prominent location. Licensee informed it must remain posted for the next 30 days.

A copy of this report must be made available to the public upon request for three years

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:
DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/14/2022
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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