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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845784
Report Date: 09/23/2024
Date Signed: 09/23/2024 01:56:28 PM

Document Has Been Signed on 09/23/2024 01:56 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
364845784
ADMINISTRATOR/
DIRECTOR:		GARCIA,LUEBUTARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 452-8571
CITY:FONTANASTATE: CAZIP CODE:
92337
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
09/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:50 PM
MET WITH:Luebutar Garcia TIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On date and time listed above, Licensing Program Analyst (LPA) Aman Lama arrived at the facility for a case management-other inspection. On 04/25/24, there was an annual inspection conducted, which resulted in a Type B violation. After the licensee submitted an appeal, a determination has been made that the citation cited under section 102418(g), is being dismissed. A technical violation is issued in it's place.

The licensee, Luebutar Garcia confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

An exit interview was conducted and report was reviewed with the licensee, Luebutar Garcia.

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

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2024
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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