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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334804993
Report Date: 09/01/2022
Date Signed: 09/01/2022 11:58:47 AM

Document Has Been Signed on 09/01/2022 11:58 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:DURKEE FAMILY CHILD CAREFACILITY NUMBER:
334804993
ADMINISTRATOR:DURKEE, KELLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 687-6070
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
09/01/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Kelly Durkee, LicenseeTIME COMPLETED:
12:00 PM
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On 09/01/2022, Licensing Program Analyst (LPA) Kay Turner arrived at the facility on a case management visit to follow-up on an unusual incident report submitted by the licensee on 08/15/2022. At the time of visit, LPA toured the facility, took census, and met with Licensee, Kelly Durkee, to discuss the reported incident. During the visit, LPA also spoke with other adult(s) in the home. The subject child involved in the incident was not interviewed by the LPA as their last day 08/19/2022..

Based on the information obtained during the visit, at this time, there appeared to be no violations of Title 22 Regulations pertaining to the reported incident.

An exit interview was held with Licensee, Kelly Durkee. A Notice of Site visit was issued, along with a copy of this report.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE: DATE: 09/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/01/2022
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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