336300870-10-5-2023-10-CC-SHAA-CWBME9-20231005093222

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 336300870
Report Date: 10/05/2023
Date Signed: 10/05/2023 09:32:24 AM

Document Has Been Signed on 10/05/2023 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	CORRAL FAMILY CHILD CARE		FACILITY NUMBER:	336300870
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 2	DATE:	10/05/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:08 AM
MET WITH:	Eileen Corral		TIME COMPLETED:	09:40 AM

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On the date and time listed, Licensing Program Analyst (LPA) Sumayya Habeebulla arrived at the facility to conduct a subsequent pre-licensing inspection. Applicant Eileen Corral was present during this visit. A physical plant inspection was conducted to ensure the plan of corrections were met prior to licensure.

The following was observed/obtained during this visit:
1. LIC 610A has been updated.
2. Quiz
3. Pool is Fenced as per Title 22 regulations.
4. Applicant stated MMR vaccine for spouse will be obtained if he will begin assisting with childcare.

Exit interview conducted and report was reviewed with the applicant, Eileen Corral.

A copy of this report was left with the Applicant and a copy must be made available upon request, to the public for 3 years.

The application for a Small Family Child Care Home will be submitted for approval with a maximum capacity of 6, or 8 with parent notification.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 10/05/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023

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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