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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300491
Report Date: 01/24/2024
Date Signed: 01/24/2024 01:39:22 PM

Document Has Been Signed on 01/24/2024 01:39 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:VERDUGO FAMILY CHILD CAREFACILITY NUMBER:
336300491
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 2DATE:
01/24/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Rosa and Carlos VerdugoTIME COMPLETED:
01:46 PM
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On 1/24/24, at 1:05pm, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to conduct a case management inspection for an increase capacity to a large family childcare home. Present during this inspection were: licensee. Fire Clearance was approved by Riverside County Fire Department on 1/3/2024.

At 1:16pm, LPA toured the facility, inside and out with licensees and the following was observed and/or discussed:

· Normal days and hours of operation are: Mon-Fri. 5am-3:30pm

· Off-limit areas include: Bedrooms 1-3, master bath and garage. Backyard area outside of fenced patio.

Files were not reviewed due to recent annual inspection on 6/7/23.



· Documentation of fire and disaster drills on file – Last drill conducted on 1/10/24 and 1/17/24

· Mandated Reporter Training completed on 1/21/2024 (both licensees)

· Pediatric CPR and First Aid Card expire on 1/2026 (both licensees)



No deficiencies observed during time of inspection

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. An exit interview was conducted, and this report was reviewed with the licensees Rosa and Carlos Verdugo. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2024
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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