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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364812241
Report Date: 02/24/2025
Date Signed: 02/24/2025 03:40:10 PM

Document Has Been Signed on 02/24/2025 03:40 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:VILLARREAL FAMILY CHILD CAREFACILITY NUMBER:
364812241
ADMINISTRATOR/
DIRECTOR:		VILLARREAL, DORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 350-3617
CITY:FONTANASTATE: CAZIP CODE:
92337
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
02/24/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Dora Villarreal, licensee and Lia VillarrealTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 02/24/2025, at 12:50 PM, an informal conference was held at the Riverside Regional Office. Present in the conference were Licensee, Dora Villarreal and relative, Lia Villarreal, Licensing Program Manager (LPM) Gilbert Sena and Licensing Program Analyst (LPA) Aman Lama.

Due to a recent complaint investigation, the Purpose of the meeting is to review and discuss the following:
  • Operation of a Family Child Care Home (FCCH)
  • Personal Rights
  • Reporting Requirements
  • Personnel Requirements
  • Children's Records
  • Immunizations
  • Technical Support Program (TSP) and outside vendor program

LPM and LPA reviewed/discussed facility staff training, facilities policies and procedures, and day-to-day operation as it relates to personal rights and reporting requirements.

LPM reviewed TSP and encouraged the facility to voluntarily enroll and/or complete outside vendor training, primarily focusing on personal rights and reporting requirements.

Facility staff were advised to visit the Department's website at: https://cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers

Facility Staff were advised to review the Personal Rights and reporting requirements Provider videos website at; https://ccld.childcarevideos.org/child-care-center-operators/
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: VILLARREAL FAMILY CHILD CARE
FACILITY NUMBER: 364812241
VISIT DATE: 02/24/2025
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensing related information to licensed facilities, visit the CCLD Important Information website at:
https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Childcare option to receive email communication.

As a result of this informal conference, licensee Dora Villarreal understands the department’s expectations regarding personal rights and reporting requirements and agrees to maintain substantial compliance with Title 22 Regulations.

LPA Lama informed Licensee to provide a copy of this licensing report, dated 02/24/2025, to authorized representatives of all children currently enrolled by the next business day, or the next day the children are in care; and to any newly enrolled children's authorized representatives for the next 12 months from the date of this report.

A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
LIC809 (FAS) - (06/04)
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