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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845815
Report Date: 07/01/2020
Date Signed: 08/10/2020 05:25:33 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:QUIGLEY FAMILY CHILD CAREFACILITY NUMBER:
364845815
ADMINISTRATOR:QUIGLEY, MICHELEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 798-6767
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:14CENSUS: 0DATE:
07/01/2020
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Applicant, Michele QuigleyTIME COMPLETED:
02:07 PM
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Due to COVID-19 State of Emergency, a Pre-licensing Office Tele-Conference was conducted via Microsoft Teams on 07/01/2020 at 1:00pm. Present during this tele-conference was; Applicant, Michele Quigley, Licensing Program Manager (LPM), Kimberly Williams and Licensing Program Analyst (LPA), Destinee Hogue.

The tele-conference was held to discuss department expectations with a focus on the following Title 22 Regulations:

1. 102417(a) Operation of a Family Child Care Home (Supervision)
2. 102423(a) Personal Rights
3. 102370(d) Criminal Record Clearances
4. 102417(g)(5) Operation of a Family Child Care Home (Bodies of Water)
5. 102416.5(d) Staffing Capacity and Ratio
6. 102402(a)(3) Revocation or Suspection of a License or Registration (Conduct Inimical)

As a result of this Office Tele-Conference, Applicant has been informed of and/or provided with the following:
· Access forms & Title 22 Regulations for Family Child Care at: https://cdss.ca.gov/inforesources/community-care/policy/laws-and-regulations
· Spring 2020 Quarterly Update was emailed to Applicant during this tele-conference and can be viewed at: https://cdss.ca.gov/Portals/9/CCLD/200422-CCP_COVID-19-EDITION.pdf
· View California Child Care Licensing Resources for Parents and Providers videos at: https://ccld.childcarevideos.org/family-child-care-providers/
· Sign up for department and quarterly updates at https://cdss.ca.gov/inforesources/community-care-licensing/subscribe
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2020
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: QUIGLEY FAMILY CHILD CARE
FACILITY NUMBER: 364845815
VISIT DATE: 07/01/2020
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These resources were provided to the Applicant for informational purposes in efforts of assisting the provider with sustainable future compliance.

Before the pre-licensing tele-inspection is scheduled, the following shall be corrected/completed:
1) Submit an updated LIC279 (Application for a Family Child Care Home)
2) Submit an updated LIC508 for adult residents (i.e. renters)
3) Submit an updated LIC610A (Emergency Disaster Plan)

Once all corrections have been verified, the pre-licensing tele-inspection will be scheduled. Applicant is advised that all corrections are due within 30 days or the application may be withdrawn. Corrections are due by 07/31/2020.

An exit interview was conducted via Microsoft Teams, and a copy of this report was provided to Applicant on this date via email. Due to COVID-19 State of Emergency, LPA provided a copy of this report via email with an electronic “READ RECEIPT”. LPA Hogue requested Applicant to acknowledge receipt of the email. The electronic read receipt of the emailed report acknowledges receipt of this report. Applicant understands that a copy of this report must be made available to the public, upon their request, for the next three years. A copy of this report was emailed to Applicant during this tele-inspection on 07/01/2020.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2020
LIC809 (FAS) - (06/04)
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