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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334809256
Report Date: 05/16/2024
Date Signed: 05/16/2024 02:28:15 PM

Document Has Been Signed on 05/16/2024 02:28 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:GLENNS FAMILY CHILD CAREFACILITY NUMBER:
334809256
ADMINISTRATOR/
DIRECTOR:		GLENNS, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 485-4509
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
05/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:55 PM
MET WITH:Patricia Glenns, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:35 PM
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Licensing Program Analyst (LPA) Jesse Gardner arrived at the facility unannounced and met with Licensee Patricia Glenns. Licensee Glenns provided LPA access to the facility. LPA made the visit to provide a printed copy of the annual inspection that was conducted on 5/14/2024.

On the day of last visit, the printed copy provided to the Licensee was incorrect, but FAS captured the correct version. LPA made today's visit to provide the Licensee with the correct copy.

Additionally, on today's visit, the smoke detector was tested and operable.

An exit interview was conducted and a copy of this report along with a copy of the annual visit conducted on 05/14/2024 was provided along with copies of the Appeal Rights, and notice of site visit. The notice of site visit is to remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2024
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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