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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842467
Report Date: 07/23/2024
Date Signed: 07/23/2024 01:27:48 PM

Document Has Been Signed on 07/23/2024 01:27 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:PHANNIX FAMILY CHILD CAREFACILITY NUMBER:
334842467
ADMINISTRATOR/
DIRECTOR:		PHANNIX, MICHIELEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 247-6384
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92551
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
07/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:25 PM
MET WITH:Michiele Phannix, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
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Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced visit in response to the receipt of an unusual incident report (UIR) received from the facility on 07/04/2024. LPA met with Licensee Michiele Phannix and toured the facility inside and out.

The UIR states there was an incident on 07/03/2024, involving Child #1 (C1) where an incident occurred between C1, and Child #2 (C2) which required C1 to receive medical care.

LPA interviewed Licensee and observed 8 children in care with appropriate supervision being maintained by the Licensee and Assistant Marshanae Martin. Based on the information gathered, the facility acted appropriately and no violations were identified. Per interview conducted, Licensee was in communication with C1's mother, reported the incident timely to the Department, and there were appropriate ratios and supervision being maintained.

An exit interview was conducted and a copy of this report was provided to Licensee Michielle Phannix along with copies of the LIC811 (confidential names list), and Appeal Rights.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 07/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2024
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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