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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845683
Report Date: 04/23/2024
Date Signed: 04/23/2024 01:08:37 PM


Document Has Been Signed on 04/23/2024 01:08 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:YISRAEL FAMILY CHILD CAREFACILITY NUMBER:
334845683
ADMINISTRATOR:SARAHYAH YISRAELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 609-7876
CITY:SAN JACINTOSTATE: CAZIP CODE:
92582
CAPACITY:14CENSUS: 6DATE:
04/23/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Sarahyah YisraelTIME COMPLETED:
01:15 PM
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On April 23, 2024, Licensing Program Analyst (LPA) Cindy Hamilton and Licensing Program Manager (LPM) Carlos Martinez arrived at Yisrael Family Child Care home (FCCH) to conduct a Plan of Correction (POC) follow up visit to determine compliance for the deficiencies cited during the inspection on 03/27/2024. LPA and LPM met with licensee Sarahyah Yisrael.

On March 27, 2024, the FCCH was cited for FCCH not being in good repair. In addition, the licensee submitted pictures of the corrections via email to LPA Hamilton on April 16, 2024. During today's visit, LPA and LPM inspected the FCCH inside and out and observed facility to be in compliance.

Based on observations and interviews, LPA and LPM confirmed facility was in good repair and compliance.

A copy of this report, appeal rights and notice of site visit was provided to licensee. Licensee was also reminded that the notice of site visit must remained posted for 30 days.

SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:
DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/23/2024
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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