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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846104
Report Date: 06/15/2022
Date Signed: 06/15/2022 01:49:17 PM

Document Has Been Signed on 06/15/2022 01:49 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:WOOTEN FAMILY CHILD CAREFACILITY NUMBER:
334846104
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 6DATE:
06/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Melissa WootenTIME COMPLETED:
01:54 PM
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On 6/15/22 at 01:20 PM, Licensing Program Analysts (LPAs) Jeanette Sanchez and Lorena Valenzuela arrived at the facility to conduct a case management visit. Licensee intends to make a previously off limits room accessible to the children.

LPAs took census and toured the facility. LPAs inspected the room, which will be used as the sleeping room for children over 2 years old. Licensee informed LPAs that she will be attaching a furniture strap to a bookcase to secure it to the wall. Once proof of correction if received, Licensee will be approved to add room to daycare.

Exit interview conducted and this report along with the appeal rights were reviewed and provided to Licensee Melissa Wooten.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2022
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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