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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364807046
Report Date: 06/14/2023
Date Signed: 06/14/2023 12:34:51 PM

Document Has Been Signed on 06/14/2023 12:34 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:NUNO FAMILY CHILD CAREFACILITY NUMBER:
364807046
ADMINISTRATOR:NUNO, ESPERANZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 232-1122
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
06/14/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:44 AM
MET WITH:Licensee's spouse Mr. NunoTIME COMPLETED:
12:45 PM
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Licensing Program Analysts (LPA's) D. Brasel and C. Caywood arrived at the facility to conduct a one year annual visit. Upon arrival to the facility LPA's were greeted at the door by Mr. Nuno. LPA C. Caywood spoke to Mr. Nuno in Spanish. Per Mr. Nuno, Esperanza Nuno, the licensee isn't home or doing daycare.
Mr. Nuno provided a contact number for the licensee. LPA C. Caywood spoke to the licensee in Spanish, per the licensee she currently is not providing daycare and has requested to be placed on Inactive status.

LPA D. Brasel will email the Inactive Request form for completion. Per the licensee she will email the completed request to LPA D. Brasel on 06/15/2023. LPA Brasel will process the request upon receiving.

LPA C. Caywood advised the licensee that Mr. Nuno agreed to sign this report and a copy will be left with
Mr. Nuno. LPA will in addition email a copy of this report to the licensee's email on file, which was confirmed on this date.

Exit interview conducted and report was reviewed with the licensees spouse.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting
requirements shall result in an immediate civil penalty of $100.

A copy of this report was provided to the licensees spouse on this date and must be made available to the public upon request for the next 3 years.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2023
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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