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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842550
Report Date: 01/23/2024
Date Signed: 01/23/2024 03:38:16 PM

Document Has Been Signed on 01/23/2024 03:38 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:ABDRABOH FAMILY CHILD CAREFACILITY NUMBER:
334842550
ADMINISTRATOR:ABDRABOH, RANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 628-9918
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
01/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Licensee Rana AbdrabohTIME COMPLETED:
03:45 PM
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On 01/23/2024, at 03:20 PM, Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conduct a case management visit at the above licensed facility to amend a report that was previously issued. During the visit, the facility was toured, and census was taken. LPA met with Licensee Rana Abdraboh. The facility was found to be in substantial compliance at the time of today’s visit. No deficiencies were cited at this time.


A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed with the Licensee Rana Abdraboh.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2024
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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