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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334809550
Report Date: 04/07/2022
Date Signed: 04/07/2022 09:48:05 AM

Document Has Been Signed on 04/07/2022 09:48 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:MARTHA'S VILLAGE & KITCHENFACILITY NUMBER:
334809550
ADMINISTRATOR:ROSA VERDUZCOFACILITY TYPE:
840
ADDRESS:83-791 DATE AVENUETELEPHONE:
(760) 347-4741
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY: 12TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Assistant Director Maria Munoz de EstevesTIME COMPLETED:
09:55 AM
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Licensing Program Analysts (LPAs) Jeanette Sanchez and Linda Almaraz arrived at the facility to conduct a case management visit. Upon arriving Site Supervisor Carmen Robledo and Assistant Director Maria Munoz de Esteves informed LPAs that the school age program remains closed. Room 4 has been converted to a preschool classroom.

LPAs spoke with Director Rosa Verduzco via telephone to confirm. Director informed LPAs that the school age program has not reopened since the license was placed on inactive. There are current plans to expand the center, which will allow for space to run the school age program again. Director asked for the inactive status to be extended to 6/30/24.

LPAs informed staff of the past due fees, which must be paid prior to extending the status. Staff will attempt to pay today.

An exit interview was conducted, and this report was reviewed with the Assistant Director. Appeal rights were discussed and provided during the exit interview.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2022
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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