<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627071
Report Date: 03/28/2024
Date Signed: 03/28/2024 12:31:12 PM


Document Has Been Signed on 03/28/2024 12:31 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
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108



FACILITY NAME:MURRAY, AMBERLEE FAMILY CHILD CAREFACILITY NUMBER:
376627071
ADMINISTRATOR:AMBERLEE MURRAYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 517-0530
CITY:ALPINESTATE: CAZIP CODE:
91901
CAPACITY:14CENSUS: 7DATE:
03/28/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Amberlee MurrayTIME COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 03/28/2024 at 12:00 PM Licensing Program Analyst (LPA) Dana Stevens conducted an unannounced Case Management visit for the purpose of amending complaint report dated 03/15/204.

LPA met with Licensee, Amberlee Murray. There were 7 children present at the time of this inspection.

An exit interview was conducted and a copy of this report was provided to licensee.
The Notice of Site Visit (LIC 9213) is to be posted for thirty (30) days
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Dana StevensTELEPHONE: (619) 767-2238
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1