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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841672
Report Date: 12/19/2024
Date Signed: 12/23/2024 10:34:23 AM

Document Has Been Signed on 12/23/2024 10:34 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MURRELL FAMILY CHILD CAREFACILITY NUMBER:
364841672
ADMINISTRATOR/
DIRECTOR:		KONSTANCE MURRELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 733-9015
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92411
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
12/19/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Konstance MurrellTIME VISIT/
INSPECTION COMPLETED:
01:55 PM
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On date and time listed above, Licensing Program Analyst (LPA) Justin Giese made an unannounced case management visit to the facility for the purpose of delivering amended report documents. LPA met with Licensee, Konstance Murrell and discussed the following.

As part of today's visit, LPA toured the facility inside and out and took census of children in attendance. LPA observed twelve children and two additional Staff present.

LPA reviewed documents with Licensee and delivered amended report.

No deficiencies have been cited during today's visit.

An exit interview was conducted, this report was reviewed with Licensee, Konstance Murrell.

A notice of site visit was issued, Licensee was instructed to post it in a prominent location within the facility. Notice of site visit must remain posted for the next 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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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