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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364842493
Report Date: 11/16/2023
Date Signed: 11/16/2023 02:59:05 PM

Document Has Been Signed on 11/16/2023 02:59 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:FOSTER FAMILY CHILD CAREFACILITY NUMBER:
364842493
ADMINISTRATOR:FOSTER, LOLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 616-2431
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
11/16/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:23 PM
MET WITH:Lola FosterTIME COMPLETED:
03:15 PM
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On this date and time, Licensing Program Analyst (LPA) Laura Mejorado arrived at the facility to conduct a Case Management Legal/Non-compliance inspection. Present during the inspection was Licensee Lola Foster and 7 daycare children. LPA toured the facility, inside and out, records were reviewed, and the following was observed and/or discussed:

The purpose of todays inspection is to obtain operating status and to ensure substantial compliance based on the accusation served to the Licensee on 6/27/23 for a license revocation.

LPA is also following up on outstanding plans of corrections for citations issued on 9/13/23.

1. Licensee agrees to conduct a disaster drill and submit proof to CCL by 10/13/23.

- As of today, Licensee has not conducted a disaster drill but agrees to conduct a disaster drill tomorrow submit proof to CCL by 11/17/23.

2. Licensee and assistant agree to complete mandated reporter (child care provider AB1207) training and submit certificate to CCL by 10/13/23.

- On 9/13/23 Licensee submitted a copy of their mandated reporter certificate however their assistants mandated reporter certificate is still missing. Licensee agrees to submit proof of assistants mandated reporter certificate to CCL by 11/22/23. https://mandatedreporterca.com/

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE: DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: FOSTER FAMILY CHILD CARE
FACILITY NUMBER: 364842493
VISIT DATE: 11/16/2023
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3. Licensee and assistant agree to completed EMSA, American Heart Association and/or Red Cross CPR/First Aid training and submit proof to CCL by 10/13/23.

- On 9/16/23 Licensee completed CPR/First Aid training through an unapproved vendor. LPA informed Licensee of the approved vendors and requested Licensee and assistant complete CPR/First Aid training. Licensee will be contacting an approved vendor to enroll in a CPR/First Aid training which is scheduled for 12/12/23. After completion Licensee and assistant agree to submit proof of CPR/First Aid certificate to CCL by 12/13/23.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.


Exit interview conducted and report was reviewed with the licensee Lola Foster.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC809 (FAS) - (06/04)
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