<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846459
Report Date: 10/25/2023
Date Signed: 10/25/2023 10:35:47 AM

Document Has Been Signed on 10/25/2023 10:35 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:YBARRA FAMILY CHILD CAREFACILITY NUMBER:
334846459
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
10/25/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Olga Stephany Ybarra, applicantTIME COMPLETED:
10:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/25/2023 at 10:00 AM, Licensing Program Analysts (LPAs) Claudia Caywood, Raymond Moorehead, and Licensing Program Manager Aaron Ross arrived at the facility to follow up on a Pre-licensing inspection to inspect the body of water located at the facility. Present during this inspection were: Olga Ybarra, Applicant. LPA toured the facility, inside and out and the following was observed and/or discussed:

A stock tank pool is located on the left side of the backyard directly to the left of the patio. It measures 9.9 ft in diameter by 2.2 ft in depth. It has a solid wood pool cover with a total of 4 locks, two on each side.

Once all corrections have been verified, the application for a Small Family Child Care Home will be submitted for approval with a maximum capacity of 6, or 8 with parent notification. An exit interview was conducted, and a copy of this report was provided to the applicant on this date.

During the exit interview, the Applicant confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

Exit interview conducted and report was reviewed with the Applicant, Olga Ybarra.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1