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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374845106
Report Date: 09/06/2019
Date Signed: 09/06/2019 09:24:06 AM

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:ECCLES FAMILY CHILD CAREFACILITY NUMBER:
374845106
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: DATE:
09/06/2019
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Julia EcclesTIME COMPLETED:
09:25 AM
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A Informal Conference was conducted on this date of September 6th, 2019 at the Riverside Child Care Regional Office South East Office. Present in the meeting were Licensing Program Manager (LPM) Dawn Parker and Licensing Program Analyst (LPA) Otsanya Cameron,

The Conference was called to discuss the facility's most recent issues of:
1. Ratio and capacity.
2. Pending Increase.

During the conference, The Licensee detailed the dates and times of her children in care and ratios. Child Care Roster LIC9040 and Attendance sheets were reviewed.

As a result of the informal conference, the Facility will be approved for a LARGE license and licensee understands the ratio and capacity.



An exit interview was conducted with the Licensee and a copy of this report was provided.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
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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