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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334840709
Report Date: 02/01/2024
Date Signed: 02/01/2024 09:38:33 AM

Document Has Been Signed on 02/01/2024 09:38 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ZAVALA FAMILY CHILD CAREFACILITY NUMBER:
334840709
ADMINISTRATOR:ZAVALA, BRENDA/DANIELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 398-9963
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
02/01/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:59 AM
MET WITH:Brenda ZavalaTIME COMPLETED:
09:50 AM
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On February 1, 2024, Licensing Program Analyst (LPA) Lorena Valenzuela, conducted an unannounced case management inspection. LPA met with licensee Brenda Zavala to follow up on a previous a citation in regard to an uncleared adult (Adult 1) living in the home. During time of inspection, there were a total of 7 children in care.

Licensee confirmed that A1 does not live in the home but will come to visit outside of daycare hours. LPA toured the home and all bedrooms and did not observe the individual (A1) in the facility.

An exit interview was conducted, and this report was reviewed with the licensee Brenda Zavala. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2024
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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