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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846516
Report Date: 12/29/2023
Date Signed: 12/29/2023 09:55:19 AM

Document Has Been Signed on 12/29/2023 09:55 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:PEREZ FAMILY CHILD CAREFACILITY NUMBER:
334846516
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/29/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Applicant Laura PerezTIME COMPLETED:
10:15 AM
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On date and time listed, Licensing Program Analyst (LPA) Perla Ordones arrived at the facility to conduct a secondary pre-licensing inspection to ensure initial corrections were completed prior to licensure. Present during this inspection was Applicant Laura Perez.

Normal days and hours of operation: Monday – Sunday; 23 hours a day.
OFF-LIMIT AREAS INCLUDE: Entire second floor, garage, and right side of the backyard that has the pool.

During visit, LPA observed that a combination of a five-foot-tall and four-foot and eleven inch tall mesh-type fencing has been installed that surrounds the in-ground pool in an attempt to prevent direct access from the windows and sliding glass door of the home. Due to some sections of the fencing not meeting the minimum height requirement of five feet and fencing not stretching the full length to surround the pool, the pool does not meet Title 22 regulations. The fencing does contain a gate with a self-latching and self-closing door, which swings away from the pool.

Additionally, due to the minimal gap present between the outer wall of the home and the mesh fencing, LPA advised Licensee to check in with the fire department to ensure the position of the mesh fencing does not create a zoning issue per fire department regulations.


Before licensure, the following needs to be corrected/completed:
- Fencing must be installed that meets the five foot height requirement per Title 22 regulations and that surrounds the entirety of the pool to prevent direct access from all sides of the home.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 12/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/29/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: PEREZ FAMILY CHILD CARE
FACILITY NUMBER: 334846516
VISIT DATE: 12/29/2023
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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. Applicant advised that all corrections are due within 30 days or the application may be withdrawn.

On this date, 12/29/2023, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Exit interview conducted and report was reviewed with the Applicant Laura Perez.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2023
LIC809 (FAS) - (06/04)
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