364842493-6-5-2023-09-CC-LMEO-CSHVPL-20230605163654

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364842493
Report Date: 06/05/2023
Date Signed: 06/05/2023 04:36:56 PM

Document Has Been Signed on 06/05/2023 04:36 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 CARE		FACILITY NUMBER:	364842493
ADMINISTRATOR:	FOSTER, LOLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 616-2431
CITY:	RIALTO	STATE: CA	ZIP CODE:	92376
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 8	DATE:	06/05/2023
TYPE OF VISIT:	POC	UNANNOUNCED	TIME BEGAN:	03:55 PM
MET WITH:	Lola Foster		TIME COMPLETED:	04:45 PM

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On this date and time, Licensing Program Analyst (LPA) Laura Mejorado made an unannounced plan of corrections visit for citations issued during an unannounced visit to the facility on 05/03/2023. Present was Licensee Lola Foster, their adult grandson and 8 day care children. Licensee stated they are currently operating, Monday - Friday, 5:00am - 6:00pm. LPA discussed the purpose of the visit with Licensee.

LPA made a prior plan of correction visit on 05/11/23. The following is still needed to clear the citations issued on 05/03/2023:

- Licensee agrees to submit an unusual incident report for the incident and submit to CCL by 5/12/23.

- Licensee stated they are aware they need to keep complete, accurate and separate files for all daycare children. Licensee will be required to draft a written acknowledgement regarding this regulation, stating they will maintain children’s records for all daycare children currently enrolled or enrolled in the future. Licensee will submit acknowledgement to CCL on or before the stated POC date 05/17/2023.

- Licensee stated they are aware they need to keep and maintain a current Facility Roster for all past and present daycare children. Licensee will be required to draft a written acknowledgement regarding this regulation, stating they will maintain a Facility Roster. Licensee will submit acknowledgement to Licensing on or before the stated POC date 05/17/2023 (copy of roster was submitted on 5/30/23)

Exit interview conducted and report was reviewed with Licensee, Lola Foster.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2023

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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