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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300108
Report Date: 11/13/2023
Date Signed: 11/13/2023 08:50:28 AM

Document Has Been Signed on 11/13/2023 08:50 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:RESHARD FAMILY CHILD CAREFACILITY NUMBER:
336300108
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 2DATE:
11/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Morgan DavisTIME COMPLETED:
09:00 AM
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Licensing Program Analyst (LPA), Sumayya Habeebulla arrived at this facility to deliver an amended report for the complaint investigation delivered on 10/04/23. Present during this visit was facility representative Ms. Morgan Davis.

Licensee was not present at the facility and LPA Habeebulla contacted Licensee and informed her of the reason for the visit. Licensee gave permission for the facility representative to receive the report and sign the document.

An exit interview was conducted, and this report was reviewed with facility representative Ms. Morgan Davis. Appeal rights were discussed and provided during the exit interview. Notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2023
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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