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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300783
Report Date: 09/11/2024
Date Signed: 09/11/2024 02:16:44 PM

Document Has Been Signed on 09/11/2024 02:16 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:RUTHERFORD FAMILY CHILD CAREFACILITY NUMBER:
336300783
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
09/11/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:09 PM
MET WITH:Porcha RutherfordTIME VISIT/
INSPECTION COMPLETED:
02:39 PM
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On September 11, 2024, at 1:09 PM, Licensing Program Analyst (LPA) Anastasia Flores, arrived for the purpose of a compliance inspection in regard to an informal office conference held in our office on 7/25/24. Licensee filed for a capacity increase in May of 2024. During the inspection, LPA toured the facility inside and out, and no immediate health or safety risks were observed.

During inspection, LPA reviewed staff and children’s records. Licensee, stated TSP services were completed on 09/10/24 via online. LPA printed forms for a complete child and staff file and listed what was needed in each file. LPA printed out the LIC311 for licensee and went over the sheet with the licensee at the time of inspection.

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. Applicant advised that the facility is on probationary status and LPA will conduct random inspections every three to four months to ensure the licensed day care remains in compliance with Title 22 Regulations.



Exit interview conducted and a copy of this report and appeal rights was reviewed and handed to the licensee, Porcha Rutherford.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE: DATE: 09/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2024
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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