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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300578
Report Date: 02/22/2024
Date Signed: 02/22/2024 09:15:54 AM

Document Has Been Signed on 02/22/2024 09:15 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:BUCHANAN FAMILY CHILD CAREFACILITY NUMBER:
336300578
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
02/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Latisha BuchananTIME COMPLETED:
09:30 AM
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On February 22, 2024 at 08:45 AM Licensing Program Analyst(LPA) Courtnee Peebles arrived at the facility to conduct a case management visit. LPA toured the facility inside and out and took a census. LPA arrived at the facility to deliver an amended 9099 for a complaint that was closed on 02/07/2024. LPA explained to the licensee the time of the visit had an error. A corrected form was given today along with a notice of site visit.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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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