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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846284
Report Date: 07/29/2024
Date Signed: 07/29/2024 03:01:04 PM

Document Has Been Signed on 07/29/2024 03:01 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:VALI & ESTEANEH FAMILY CHILD CAREFACILITY NUMBER:
334846284
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
07/29/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:31 AM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
03:10 PM
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On 7/29/24 Licensing Program Analyst (LPA) Claudia Caywood arrived at the facility to conduct a pre-licensing follow-up POC visit for the remaining needed corrections from the 06/05/2024 visit. LPA met with applicant, Malektaj Esteaneh upon arrival. LPA toured the facility inside and outside confirming all but one correction had been made. The following corrections were needed as of 07/29/2024.

1. Three children’s files are still missing the LIC 9150 and LIC 995A.

Upon completion of tour, LPA Claudia Caywood has confirmed the remaining corrections need to be completed. 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. Advised licensee that all corrections are due within 30 days, or the application may be withdrawn. LPA reminded the licensee; the increase of capacity is still being evaluated.

An exit interview was conducted, report was reviewed, and a copy of the report was provided to Licensee.

A notice of Site Visit was issued and is to be posted in a prominent location at the facility for the next 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2024
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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