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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845308
Report Date: 03/17/2025
Date Signed: 03/17/2025 02:46:49 PM

Document Has Been Signed on 03/17/2025 02:46 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: 0DATE:
03/17/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:34 AM
MET WITH:Patricia Munoz, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On March 17, 2025 at approximately 10:30 AM, Licensing Program Manager (LPM) Deborah Mullen and Licensing Program Analyst (LPA) Jesse Gardner conducted an informal conference held via Microsoft Teams with Licensee, Patricia Munoz, and Rosamaria Rodriguez, with Riverside County Office of Education. The conference was held to address the following:

1. Licensee's Responsibility to adhere to Title 22, and Department's Expectations/Goals.
2. Keeping a safe environment for children in care
3. Reporting incidents to parents
4. Supervision of children in care

Licensee stated they understand the importance of keeping a safe environment for children in care by providing safe equipment, as well as reporting to parents as soon as known of a potential injury to children. The Licensee also understands their responsibility to maintain supervision of children in care and their responsibility to adhere to Title 22 regulations.

An exit interview was conducted where a copy of this report was reviewed with and provided.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2025
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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