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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300640
Report Date: 06/27/2024
Date Signed: 06/27/2024 12:26:54 PM

Document Has Been Signed on 06/27/2024 12:26 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:GALLARDO BOTELLO FAMILY CHILD CAREFACILITY NUMBER:
336300640
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 9CENSUS: 8DATE:
06/27/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:40 AM
MET WITH:Guadalupe Gallardo BotelloTIME VISIT/
INSPECTION COMPLETED:
12:35 PM
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On 6/17/2024 at 11:40am, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to conduct an inspection. The licensee has applied to increase capacity to a large family childcare home. Fire Clearance was approved by Riverside County Fire Department on 6/3/2024.

An annual inspection was conducted on 11/29/2023. LPA reviewed files for corrections to previous deficiencies and Technical Violations. Fire drill conducted 5/30/2024. Children files complete.

LPA reviewed with licensee ratio and capacity, provided a flyer indicating ratios and discussed staff requirements.

The application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification.

An exit interview was conducted, and this report was reviewed with the licensee Guadalupe Gallardo Botello. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024
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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