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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844604
Report Date: 04/16/2024
Date Signed: 04/16/2024 03:45:21 PM

Document Has Been Signed on 04/16/2024 03:45 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:CEJA FAMILY CHILD CAREFACILITY NUMBER:
334844604
ADMINISTRATOR/
DIRECTOR:		CEJA, JASMINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 848-5001
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 2DATE:
04/16/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:10 PM
MET WITH:Jasmin CejaTIME VISIT/
INSPECTION COMPLETED:
03:51 PM
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On 4/16/2024 at 3:10pm, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to conduct a collateral visit. LPA met with licensee Jasmin Ceja.

LPA conducted interviews for complaint control number 10-CC-20240411151306.

An exit interview was conducted, and this report was reviewed with the licensee Jasmin Ceja. 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: 04/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2024
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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