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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842274
Report Date: 11/08/2022
Date Signed: 11/08/2022 01:09:18 PM

Document Has Been Signed on 11/08/2022 01:09 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:BARRERA HERNANDEZ FAMILY CHILD CARE HOMEFACILITY NUMBER:
334842274
ADMINISTRATOR:LAURA BARRERA HERNANDEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 831-0341
CITY:THOUSAND PALMSSTATE: CAZIP CODE:
92276
CAPACITY: 14TOTAL ENROLLED CHILDREN: 20CENSUS: 0DATE:
11/08/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Laura Barrera HernandezTIME COMPLETED:
01:00 PM
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An Informal Conference was held in the Riverside Child Care Regional Office on this date, November 8, 2022. Present in the conference were Licensee Laura Barrera Hernandez, Licensing Program Manager (LPM), Aaron Ross, and Licensing Program Analyst (LPA) Samuel Lopez.

The Conference was called to discuss the facility's most recent issues of:
1. Operation of a Family Child Care Home
2. Facility Records
3. Personal Rights

The Licensee will be required to contact Riverside County Office of Education/Resource and Referral to enroll and participate in formal training regarding the Operation of a Family Child Care and Safe Sleep.
Proof enrollment to be submitted by December 16, 2022 to the Riverside Child Care Regional office.

Riverside County Office of Education (RCOE) Resource and Referral contact: 951-826-6626/800-442-4927

SEE Videos: https://ccld.childcarevideos.org/family-child-care-providers/

LPA also informed licensee Laura Barrera Hernandez of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

As a result of this informal conference, Licensee Laura Barrera Hernandez understands the department’s expectations and agrees to maintain substantial compliance with Title 22 Regulations.



Exit interview conducted and report was reviewed with the licensee Laura Barrera Hernandez.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2022
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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