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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334840858
Report Date: 08/13/2024
Date Signed: 08/13/2024 01:00:25 PM

Document Has Been Signed on 08/13/2024 01:00 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:GERRARD FAMILY CHILD CAREFACILITY NUMBER:
334840858
ADMINISTRATOR/
DIRECTOR:		GERRARD, CASSAUNDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 491-9537
CITY:LA QUINTASTATE: CAZIP CODE:
92253
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
08/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:27 PM
MET WITH:Cassandra Gerrard TIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On August 13, 2024, at 12:27PM, Licensing Program Analyst (LPA) Anastasia Flores, arrived for the purpose of conducting a case management in regard to an incident report received in our office on 7/31/24. LPA took census, the facility is operating within ratio. Licensee informed LPA Child #1, 2, were playing indoor basketball and C1 was on the ground with his left arm down to hold him up when C2 fell backwards onto C1 on 7/30/23, resulting in C1 to be medically evaluated. . Licensee showed LPA proof of Unusual incident report sent to licensing office via email on 7/31/24 as well as calling in the unusual incident to our office on 7/31/24.

Based on interview, and record review, no deficiency to be issued at this time. A copy of this report, appeal rights and LIC811, confidential interview page was reviewed and handed to licensee during exit interview.

A notice of site visit was handed to licensee, Cassandra Gerrard and notified that it has to be posted for 30 day.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
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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