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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 330927617
Report Date: 02/01/2024
Date Signed: 02/02/2024 01:37:10 PM


Document Has Been Signed on 02/02/2024 01:37 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:MC NEEL FAMILY DAY CAREFACILITY NUMBER:
330927617
ADMINISTRATOR:MC NEEL, MFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 656-4836
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY:12CENSUS: 0DATE:
02/01/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:24 AM
MET WITH:Maragret Mc NeelTIME COMPLETED:
10:40 AM
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On 02/01/2024 at 10:24 am, Licensing Program Analyst Amber Shaw conducted a case management visit and met with licensee Margaret Mc Neel. LPA disclosed the purpose of the visit, however, licensee informed LPA that she is retired as of January 13, 2024 and provided documentation.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Amber ShawTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2024
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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