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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300330
Report Date: 08/13/2024
Date Signed: 08/13/2024 11:33:43 AM

Document Has Been Signed on 08/13/2024 11:33 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:SUGMAD FAMILY CHILD CAREFACILITY NUMBER:
336300330
ADMINISTRATOR/
DIRECTOR:		SUGMAD,TIARAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 444-6317
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
08/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:01 AM
MET WITH:Tiara SugmadTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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This is an amended report to a visit conducted on 1/31/24.

On todays, date and time listed, Licensing Program Analyst (LPA) William Chancellor made an unannounced visit for a Case Management visit Sugmad Family Childcare (FCC) to deliver an amended report for an annual conducted on 1/31/24.



LPA met with Licensee (LIC) Tiara Sugmad to correct errors in the report. It was previously recorded the the FCC does not have any bodies of water on site. This was an error and was corrected to read as followed, there is a swimming pool in the backyard. Licensee understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 Regulations.

Facility was toured and census was taken of nine day care children.

An exit interview was conducted, signatures were obtained for the amended pages and a copy of this report was provided to Licensee Tiara Sugmad.

A notice of site visit was also provided and facility representative was reminded the notice must be posted for 30 consecutive days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
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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