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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845496
Report Date: 07/13/2022
Date Signed: 07/13/2022 10:32:11 AM

Document Has Been Signed on 07/13/2022 10:32 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:MORENO FAMILY CHILD CAREFACILITY NUMBER:
334845496
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
07/13/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:44 AM
MET WITH:Maribel MorenoTIME COMPLETED:
10:40 AM
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On 7/13/22 at 09:44 AM, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to conduct a case management inspection to increase capacity to a large family childcare home. Present during this inspection were: Maribel Moreno and spouse/assistant. Fire Clearance was approved by Indio Fire Department on 7/11/22.

Updates to LIC279 include:
Normal days/hours of operation Mon-Fri 7am-5pm. Ages served 2months-5yrs old.

Off-limit areas include: All upstairs, living room, family room, dining room, kitchen and garage. Facility sketch updated to reflect daycare room/bathroom. Daycare room has its own door leading to the outside/play area. Used for drop off/pick ups.

At 10:05 AM, LPA toured the facility, inside and out with Maribel Moreno and the following was observed and/or discussed: LPA provided capacity/ratio information.



An annual inspection was completed on 5/18/22, at which time no deficiencies were found. Technical Violation was issued due to licensee not notifying department of room addition.

No deficiencies observed during time of this inspection. No corrections are needed.

The application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification.

Exit interview conducted and this report along with the appeal rights were reviewed and provided to licensee Maribel Moreno.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/13/2022
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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