<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300650
Report Date: 05/04/2023
Date Signed: 05/04/2023 02:34:56 PM

Document Has Been Signed on 05/04/2023 02:34 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
336300650
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
05/04/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Angela GarciaTIME COMPLETED:
02:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
An Informal Conference was held in the Riverside Regional Office South East with Licensing Program Manager, Carlos Martinez, Licensing Program Analyst, James Wilkerson and Applicant, Angela Garcia.

The purpose of this meeting is to address applicant's need to ensure the health and safety of children in her care in addition to understanding Community Care Licensing Division's rules and regulations.

Discussed during this meeting was Title 22 Regulations, Section 102423(a) - Personal Rights. Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:

Ms. Garcia will be required to attend a training course through Riverside Office of Education (RCOE) (951) 826-6626 on personal rights (Positive Discipline) and submit a copy of the completion certificate to Community Care Licensing prior to the pre-licensing inspection.

An exit interview was conducted, appeal rights discussed and provided along with a copy of this report to Ms. Garcia on this date.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: James Wilkerson
LICENSING EVALUATOR SIGNATURE: DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/04/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1