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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300620
Report Date: 01/24/2024
Date Signed: 01/24/2024 04:57:06 PM

Document Has Been Signed on 01/24/2024 04:57 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:SAAVEDRA FAMILY CHILD CAREFACILITY NUMBER:
336300620
ADMINISTRATOR:SAAVEDRA, MAYELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 899-3766
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
01/24/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Mayela SaavedraTIME COMPLETED:
09:15 AM
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On date and time listed, Licensing Program Analyst (LPA) Lorena Valenzuela met with licensee Mayela Saavedra, for the purpose of conducting an inspection of the living room, which was previously listed as an off-limits area and is now to be included in the licensed area.

The licensee Mayela Saavedra has made changes to the facility off-limit areas and has reported change in the status.
The living room is now accessible to children in care. LPA Valenzuela conducted an inspection of the living room and observed are to have safe toys and appropriate equipment.

Licensee has updated the LIC999A Facility Sketch to reflect the changes.

THE OFF-LIMITS AREAS ARE NOW: family room, second floor, garage, pantry, bedroom in first floor, part of the backyard.
The living room is now accessible to children in care.
An exit interview was conducted, and appeal rights and a copy of this report were provided. A notice of site visit was provided and must be posted for 30 days
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
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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