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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334830362
Report Date: 03/07/2024
Date Signed: 03/07/2024 11:32:36 AM

Document Has Been Signed on 03/07/2024 11:32 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:GARCIA-ESTRADA FAMILY CHILD CAREFACILITY NUMBER:
334830362
ADMINISTRATOR:GARCIA,MARIA & ESTRADA,MFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 549-9825
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 4DATE:
03/07/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:14 AM
MET WITH:Maria Estrada, Licensee & Maria Garcia, LicenseeTIME COMPLETED:
11:45 AM
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On March 7, 2024 Licensing Program Analyst (LPA) Elyse Jones and Office Technician Eric Ramos (OT) arrived at the facility to conduct a Case Management-Other. The LPA and OT met with Maria Estrada, Licensee and Maria Garcia, Licensee. Licensees were advised that Eric was present to assist with Spanish translations. During the inspection, the LPA and OT toured the facility inside/outside, census were taken, and documentation was collected.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Maria Garcia, Licensee.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2024
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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