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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304311806
Report Date: 07/19/2024
Date Signed: 07/19/2024 09:52:22 AM

Document Has Been Signed on 07/19/2024 09:52 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MUNIZ RAQUELFACILITY NUMBER:
304311806
ADMINISTRATOR/
DIRECTOR:		MUNIZ RAQUELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 668-1713
CITY:SANTA ANASTATE: CAZIP CODE:
92707
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
07/19/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Licensee, Raquel MunizTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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
Licensing Program Analyst (LPA) Cynthia Sun conducted a Plan of Correction (POC) follow-up visit to facility for deficiency cited on 05/16/2024 with Licensee, Raquel Muniz. The purpose of today’s visit is for Licensee to complete LIC855 Declaration form. At 8:38 am upon arrival, LPA was greeted by licensee. At 8:38 AM LPA observed licensee and assistant Eva Solorzano, caring for 8 children which included 4 infants, 3 preschool and 1 after school age children. Licensee's son Hector Juarez Muniz was also at facility getting ready to go to work. At 9:10 AM second Assistant, Maria arrived to facility to help licensee with children. Children were watching TV in the childcare room and getting ready for water play outside. Licensee was operating within the licensed capacity as specified on license.

A review of the Facility Personnel Report Summary on this date indicates that all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During today's visit LPA provided Licensee LIC855 Declaration form. Licensee completed LIC855 form. LPA and Licensee reviewed process for completing daily children Sleep Logs.

The exit interview was concluded with Raquel Muniz. Appeal rights were provided.

End of Report

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Cynthia Sun
LICENSING EVALUATOR SIGNATURE: DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/19/2024
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