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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300353
Report Date: 05/20/2024
Date Signed: 05/20/2024 11:33:02 AM

Document Has Been Signed on 05/20/2024 11:33 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:MILLAR FAMILY CHILD CAREFACILITY NUMBER:
336300353
ADMINISTRATOR/
DIRECTOR:		MILLAR,AUDREYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 719-5523
CITY:MENIFEESTATE: CAZIP CODE:
92584
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
05/20/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Audrey MillarTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On May 20, 2024 at 11:00 AM Licensing Program Analyst (LPA) Courtnee Peebles and Licensing Program Manager (LPM) Carlos Martinez conducted a case management visit for a deficiency that was previously issued on 03/14/2024. Licensee obtained an above ground pool summer of 2023 and did not notify licensing, however the pool barricade did not meet Title 22 regulations. LPA and LPM measured the black mesh fencing totaling 5ft from the ground, however the entrance latch was not 6in from the top of the gate upon arrival, furthermore licensee did correct this issue when LPA and LPM were present making the entrance latch 6in from the top of the gate. Licensee is also to place metal rods along the inside of the fencing making the fence sturdy and ensuring the prevention of access by children in care.

Once all corrections have been made and proof will be provided to LPA via email.

An interview was conducted with Licensee and A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2024
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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