<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843331
Report Date: 05/02/2024
Date Signed: 05/02/2024 01:15:21 PM

Document Has Been Signed on 05/02/2024 01:15 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
334843331
ADMINISTRATOR/
DIRECTOR:		ROSALVA GARCIA-CARRANZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 289-1173
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 7DATE:
05/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:24 PM
MET WITH:ROSALVA GARCIA-CARRANZATIME VISIT/
INSPECTION COMPLETED:
01:25 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 5/2/2024 at 12:24pm, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to provide an amended report for LIC9099 dated 3/21/2024. LPA met with licensee Rosalva Garcia-Carranza.

LPA toured facility and took census.

An exit interview was conducted, and this report was reviewed with the licensee Rosalva Garica-Carranza. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1