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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846650
Report Date: 09/09/2024
Date Signed: 09/09/2024 08:40:10 AM

Document Has Been Signed on 09/09/2024 08:40 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:LOPEZ CHAVEZ FAMILY CHILD CAREFACILITY NUMBER:
334846650
ADMINISTRATOR/
DIRECTOR:		ROSA LOPEZ CHAVEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 261-0407
CITY:CATHEDRAL CITYSTATE: CAZIP CODE:
92234
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
09/09/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:40 AM
MET WITH:Rosa Lopez ChavezTIME VISIT/
INSPECTION COMPLETED:
08:50 AM
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On date and time listed, Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct a pre-licensing follow up inspection. The initial inspection was conducted on 9/5/2024. At the conclusion of the initial inspection, a list of corrections was provided to the applicant and was advised that they needed to be completed within 30 days. During today's inspection the following was observed:

- The applicant/licensee installed a solid/full window inside the master bedroom, without removing the sliding window already installed, in order to eliminate the access to the pool.
- Partial wrought iron fence and gate was installed on the side of the backyard to eliminate direct access to the pool from the garage door. The fence and gate/door are five feet in height. The gate/door is self latching/closing, which opens away from the pool.

The application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification.

Exit interview conducted and report was reviewed with the applicant/licensee Rosa Lopez Chavez.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 09/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/09/2024
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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