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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300652
Report Date: 02/28/2024
Date Signed: 02/28/2024 09:32:54 AM

Document Has Been Signed on 02/28/2024 09:32 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:MENDOZA FAMILY CHILD CAREFACILITY NUMBER:
336300652
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
02/28/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Aleida MendozaTIME COMPLETED:
09:45 AM
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On February 28,2024 at 08:50 AM, Licensing Program Analyst (LPA) Courtnee Peebles arrived at the facility to conduct a case management inspection to increase capacity to a large family childcare home. Present during this inspection were: Aleida Mendoza. Fire Clearance was approved by Menifee Fire Department on 2/15/2024.

No Updates to LIC279 include:
Normal days/hours of operation Mon-Fri 6:30am-5:30pm. Ages served 0yrs-10yrs old.

Off-limit areas include: All upstairs, family room, dining room, kitchen and garage.

At 08:50 AM, LPA toured the facility, inside and out with Aleida Mendoza and the following was observed and/or discussed: LPA provided capacity/ratio information.


An annual inspection was completed on 1/10/24, at which time no deficiencies were found.

No deficiencies observed during time of this inspection. No corrections are needed.

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.

Exit interview conducted and this report along with the appeal rights were reviewed and provided to licensee Aleida Mendoza.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2024
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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