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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300422
Report Date: 06/22/2023
Date Signed: 06/22/2023 01:58:46 PM

Document Has Been Signed on 06/22/2023 01:58 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:HARRIS FAMILY CHILD CAREFACILITY NUMBER:
336300422
ADMINISTRATOR:HARRIS, BIANCAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(217) 719-1315
CITY:WINCHESTERSTATE: CAZIP CODE:
92596
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
06/22/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:56 PM
MET WITH:Bianca HarrisTIME COMPLETED:
02:15 PM
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On June 22, 2023, Licensing Program Analyst (LPA) William Chancellor arrived unannounced to amend a complaint report. LPA met with Licensee Bianca Harris to correct the report to go unfounded. Facility was toured and census was taken.

An exit interview was conducted, signatures were obtained for the amended report and a copy of this report was provided to Bianca Harris A notice of site visit was also provided and licensee was reminded the notice must be posted for 30 consecutive days
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2023
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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