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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842295
Report Date: 10/03/2024
Date Signed: 10/03/2024 03:30:51 PM

Document Has Been Signed on 10/03/2024 03:30 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:NAVARRO FAMILY CHILD CAREFACILITY NUMBER:
334842295
ADMINISTRATOR/
DIRECTOR:		MARIA (TERESA) NAVARROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 704-3143
CITY:BEAUMONTSTATE: CAZIP CODE:
92223
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 2DATE:
10/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:55 PM
MET WITH:Licensee Maria NavarroTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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On the date and time listed, Licensing Program Analysts (LPAs) Perla Ordones and Samuel Lopez arrived at the facility for the purposes of conducting a Case Management inspection in response to the receipt of an Unusual Incident Report (UIR) that was submitted by the facility on 05/09/2024. The UIR was investigated by Community Care Licensing Investigation Branch Investigator Dennis Douglas who was assigned the case in May 2024. LPAs were granted entry into the home by Licensee Maria “Teresa” Navarro. LPAs explained the purpose of today's inspection, completed a facility tour, and obtained a census.

It was reported that on 05/08/2024, it was alleged that an inappropriate behavior occurred at the facility, involving a day-care child. Pertinent parties were interviewed by Investigator Douglas but none were able to corroborate the stated allegation. For these reasons, no violations have been found as of this time.

Based on information obtained during the investigation, it has been determined there was no violations of Title 22 Regulations pertaining to the reported incident at this time. No deficiency cited at this time.

A notice of site visit was given and must remain posted 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 the licensee Maria “Teresa” Navarro.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2024
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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