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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844541
Report Date: 02/24/2025
Date Signed: 03/24/2025 10:01:24 AM

Document Has Been Signed on 03/24/2025 10:01 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:HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
334844541
ADMINISTRATOR/
DIRECTOR:		HERNANDEZ, ALEXISFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 583-5159
CITY:MENIFEESTATE: CAZIP CODE:
92584
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/24/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Alexis HernandezTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On 03/05/2025, at 09:45 AM, Licensing Program Analyst (LPA) Courtnee Peebles conducted an unannounced case management visit to follow up on a Confirmation of Removal Notification letter. LPA met with Licensee/Director Alexis Hernandez and explained the purpose of the visit. A tour of the facility was conducted, and no immediate concerns were observed. At the time of the visit, 1 child was in care which is the Licensee’s biological child.

During the visit, LPA reviewed the Exemption Denial Letter dated 02/20/2025 with the licensee, and a copy of the document was provided. Based on the evidence obtained, LPA verified that the licensee has ceased all daycare operations as of 02/21/2025 and has submitted a written request to go inactive from 2/24/2025 through 2/24/2026. The licensee understands that they cannot operate the daycare or provide any type of child care services until a criminal record exemption is granted.

An exit interview was conducted, and a Notice of Site Visit was posted. No citations were issued during this visit. A copy of this report was provided to Alexis Hernandez on this date.

Verification of removal is complete.

NAME OF LICENSING PROGRAM MANAGER: Pauline Beschorner
NAME OF LICENSING PROGRAM ANALYST: Courtnee Peebles
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2025
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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