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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300353
Report Date: 03/14/2024
Date Signed: 03/14/2024 03:06:44 PM

Document Has Been Signed on 03/14/2024 03:06 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:MILLAR FAMILY CHILD CAREFACILITY NUMBER:
336300353
ADMINISTRATOR:MILLAR,AUDREYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 719-5523
CITY:MENIFEESTATE: CAZIP CODE:
92584
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
03/14/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Audrey MillarTIME COMPLETED:
03:15 PM
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On March 14, 2024, Licensing Program Analyst’s (LPA’s) Courtnee Peebles and William Chancellor conducted a case management visit to address an issue separate from complaint investigation (Complaint Control number 10-CC-20240312162924) which was also conducted.

During the complaint investigation, interviews with licensee disclosed that last summer in 2023, an above ground pool was installed and then in the beginning of March 2024, a 5-foot mesh fence was installed after receiving a letter from code enforcement. It was also disclosed that Licensee did not notify or call CCLD to inform any structural changes were occurring or that a pool was being installed.

Based on interviews and file review, licensee did not comply with Title 22 Regulations. Licensee failed to inform licensing a pool would be installed, which poses a potential health and safety risk to children in care. A citation will be issued. An exit interview was conducted with licensee and a notice of site visit will be provided and must be posted for 30 days.

See LIC 809 D for cited deficiencies

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE: DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2024
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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