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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374845100
Report Date: 02/26/2020
Date Signed: 02/26/2020 03:05:53 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CUARENTA FAMILY CHILD CAREFACILITY NUMBER:
374845100
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
02/26/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:34 PM
MET WITH:Adriana Cuarenta, LicenseeTIME COMPLETED:
03:10 PM
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On 02/26/2020 at 2:34 PM, Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility unannounced, for the purpose of conducting a case management visit. LPA was greeted by the Licensee Adriana Cuarenta, and granted entry into the facility. A census was taken of 5 Children in care. The following was discussed:

The purpose of the visit was to obtain signatures for a amended report, originally created during the case management inspection conducted on 02/21/2020, to increase the capacity of the facility to a Large Family Child Care Home. LPA S.Brewer, delivered the amended LIC809 to Licensee Adriana, created on 02/21/2020, obtained signatures and concluded the visit.


No Civil Penalty has been assessed on 02/26/2020.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS

A copy of this report was reviewed and provided to the Licensee Adriana Cuarenta, and must be made available to the public upon request for the next 3 years.
SUPERVISOR'S NAME: Telma SandovalTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020
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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