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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846123
Report Date: 03/25/2022
Date Signed: 03/25/2022 09:33:47 AM

Document Has Been Signed on 03/25/2022 09:33 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:GOVEA-CASTILLO FAMILY CHILD CAREFACILITY NUMBER:
364846123
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/25/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH: Areli Castillo and Ramiro GoveaTIME COMPLETED:
09:40 AM
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On 01/26/2022 at 8:55am, Licensing Program Analyst (LPA) Laura Mejorado arrived at the facility to conduct a pre-licensing inspection. On 03/25/2022 LPA Mejorado arrived at the facility to conduct a Plan of Correction visit. Present during this inspection were Applicants Areli Castillo and Ramiro Govea. LPA toured the facility, inside and out and the following was observed and discussed:

The following corrections were made:

- Applicants ensured the barbecue grill is covered making it inaccessible and the propane tank is detached
- Applicants ensured night stands in bedroom have child proof locks and all hazardous items are made inaccessible
- Applicants ensured the off-limit area of the backyard is fenced off making it inaccessible. Applicants installed a chain link fence in their backyard separating the yard and making the back portion inaccessible. Applicants installed a vinyl fence in the front yard with a gate that locks ensuring the area is enclosed. Due to Applicants installing a front and back yard fence they have decided not to install side fences on the house.

Corrections have been verified, the application for a Small Family Child Care Home will be submitted for approval with a maximum capacity of 6, or 8 with parent notification.

An exit interview was conducted, and a copy of this report was left with the Applicants. A copy must be made available upon request, to the public, for three years.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE: DATE: 03/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/25/2022
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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