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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842842
Report Date: 09/21/2023
Date Signed: 09/21/2023 11:32:59 AM

Document Has Been Signed on 09/21/2023 11:32 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:DE SILVA FAMILY CHILD CAREFACILITY NUMBER:
334842842
ADMINISTRATOR:DE SILVA, CHAMALIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 583-3077
CITY:MENIFEESTATE: CAZIP CODE:
92584
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
09/21/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Nam DesilvaTIME COMPLETED:
12:00 PM
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On 9/21/23, Nam DeSilva came to the office for a informal conference, present during the conference were Regional Manager, Stephanie Hudak, Licensing Program Manager Pauline Beschorner, Licensing Program Analyst's William Chancellor and Courtnee Peebles and Resource and Referral Program Development Specialist Rosemarie Rodriguez and Silvia Beas and licensee Nam DeSilva along with Chamali DeSilva

The following items were discussed:

Teacher Qualifications, Infant Teacher Qualification, Staff Ratios and Capacity, Operation of a family child care home

Licensee understands and agrees to the terms that all waivers and applications for capacity increases will be put on temporary hold, until after one year of substantial compliance.

Licensee Nam DeSilva agrees to seek outside vendor training with Riverside County Office of Education/Resource and Referral, or any other vendor, regarding Title 22 Regulations, with a focus on the above identified sections.

This information also pertains to the other school-age and infant components at this site, including license numbers 336300576 and 336300577,336300575



This report was reviewed and given to the licensee Nam DeSilva and Chamali DeSilva.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2023
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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