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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845308
Report Date: 02/07/2025
Date Signed: 02/07/2025 01:42:26 PM

Document Has Been Signed on 02/07/2025 01:42 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:MUNOZ FAMILY CHILD CAREFACILITY NUMBER:
334845308
ADMINISTRATOR/
DIRECTOR:		MUNOZ,PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 259-7103
CITY:MENIFEESTATE: CAZIP CODE:
92586
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
02/07/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:35 PM
MET WITH:Patricia Munoz, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 2/7/2025, at approximately 01:35 PM, LPA Jesse Gardner conducted a case management inspection to the facility. LPA met with Licensee Patricia Munoz and a tour of the inside and out of the facility was conducted.

Concluding an investigation where a Type A citation was issued, LPA reminded Licensee Patricia Munoz that if the facility receives a Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days, and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file.

An exit interview was conducted where a copy of this report was provided along with a copy of the Appeal Rights.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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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