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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300812
Report Date: 02/27/2025
Date Signed: 02/27/2025 12:09:06 PM

Document Has Been Signed on 02/27/2025 12:09 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:GUTIERREZ FAMILY CHILD CAREFACILITY NUMBER:
336300812
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 5DATE:
02/27/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:18 AM
MET WITH:Lorena GutierrezTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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On February 27, 2025, at 11:18 AM, Licensing Program Analyst (LPA) Cindy Hamilton and Licensing Program Manager (LPM) Carlos Martinez conducted a case management inspection for an increase of capacity, requested by licensee Lorena Gutierrez. LPA conducted an annual inspection on 12/11/2024 and fire clearance was granted 02/20/2025. LPA and LPM toured the facility, inside and out, and the following was observed and/or discussed:

· Normal days and hours of operation are: Monday through Friday 06:00 AM to 06:00 PM

· Off-limit areas include: laundry room, all bedrooms and garage.

· The facility is operating within the licensed capacity and appropriate ratios with licensee present with five children.


· Appropriate fire extinguisher, smoke detector and carbon monoxide detector present and were tested by the Licensee during this inspection.

· Resident and all adults who require caregiver background checks have received all required clearances and/or exemptions.



Licensee currently has 5 children enrolled and will have an assistant after licensure. LPA reminded Licensee of all required documents they will need to obtain for their assistant.

The application for a capacity increase to become a Large Family Child Care Home will be submitted for approval with a maximum capacity of 14 children with parent notification.

An exit interview was conducted and this report, appeal rights and notice of site visit were reviewed with Lorena Gutierrez, licensee. Licensee was reminded that the notice of site visit must be posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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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