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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841977
Report Date: 02/15/2023
Date Signed: 02/15/2023 12:51:36 PM

Document Has Been Signed on 02/15/2023 12:51 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:UNITED FAMILIES INC INDIOFACILITY NUMBER:
334841977
ADMINISTRATOR:MARIA LOMELIFACILITY TYPE:
850
ADDRESS:47155 VAN BUREN STREET 252TELEPHONE:
(760) 863-3952
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY: 40TOTAL ENROLLED CHILDREN: 11CENSUS: 10DATE:
02/15/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:08 AM
MET WITH:Maria GonzalezTIME COMPLETED:
12:59 PM
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On the date and time listed above, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to conduct a case management visit in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 1/31/2023. LPA met with interim Site Supervisor Maria Gonzalez.

Per the report, an email was received at the administration office reporting that a staff was physically abusing a child. Copies of statements were included with the UIR.

Facility records were reviewed. Staff and children were interviewed. Further information will be needed. Upon completion of the review, the outcome and/or recommendations will be provided to the licensee.

An exit interview was conducted, and this report was reviewed with interim Site Supervisor Maria Gonzalez. 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: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2023
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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