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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300670
Report Date: 06/03/2024
Date Signed: 06/03/2024 01:59:08 PM

Document Has Been Signed on 06/03/2024 01:59 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:HODGE-BUDD FAMILY CHILD CAREFACILITY NUMBER:
336300670
ADMINISTRATOR/
DIRECTOR:		HODGE, KENYA & BUDD, HILLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 706-4200
CITY:MENIFEESTATE: CAZIP CODE:
92585
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
06/03/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:18 PM
MET WITH:Kenya HodgeTIME VISIT/
INSPECTION COMPLETED:
02:14 PM
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Licensing Program Analyst (LPA), Kelly Gerth, arrived at the facility for the purpose of conducting a Case Management visit regarding an unusual incident report that was reported via the duty line on 04/29/2024 by Licensee. LPA met with Kenya Hodge, Licensee, to discuss the reported incident.

Per Unusual Incident Report, it was reported that on 04/29/2024, C1 was observed to have sensitivity to the right leg. Licensee contacted the parent, who then picked up C1 and took C1 to a medical appointment for the leg. Parent updated Licensee later the same day that C1 was cleared of having any injuries.

LPA determined that the facility took the necessary steps to ensure children safety, including providing first aid and contacting the child’s parents. Based on the information obtained during the visit, there appears to be no violations of Title 22 Regulations pertaining to the reported incident.

An exit interview was held with the Licensee. A Notice of Site visit was issued, along with a copy of this report.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2024
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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