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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300653
Report Date: 10/18/2023
Date Signed: 10/18/2023 10:01:58 AM

Document Has Been Signed on 10/18/2023 10:01 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:JIMENEZ FAMILY CHILD CAREFACILITY NUMBER:
336300653
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 0DATE:
10/18/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:Rosaura JimenezTIME COMPLETED:
10:10 AM
NARRATIVE
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A Non-Compliance conference was held in the Riverside South East Regional Office on October 18, 2023. Present in the conference were Licensee Rosaura Jimenez, Regional Manager Stephanie Hudak, Licensing Program Manager Deborah Mullen, Licensing Program Manager Carlos Martinez and Licensing Program Analyst Jeanette Sanchez and Program Development Specialist from Riverside County Office of Education Rosamaria Rodriguez.

The conference was called to discuss the facility’s most recent issue of:

1. Lack of Care and Supervision

On September 20, 2023, a child exited the family child care without the Licensee’s knowledge. The child was found by a neighbor approximately 40 minutes later down and across the street from the Licensee’s home. The neighbor contacted Law Enforcement when the child was found in their driveway. The parent arrived back to the facility and was able to retrieve their child from the neighbor’s home.
During the non-compliance Regional Manager discussed Title 22 regulation requirements of the Operation of Family Child Care Homes and visual supervision of children at all times.

As part of this conference, a compliance plan is being completed. The Licensee agrees to:
• Remain in compliance with all licensing laws and regulations.
• To seek training outside of the Department of Social Services, with Riverside Resource and Referral or any other vendor on Care and Supervision of Children. Proof of enrollment must be submitted to the Department within 30 days of this meeting. Proof of completion must be submitted within 90 days of this meeting. In addition, a follow up training must be completed by October 2024 and proof must be submitted to the Department.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: JIMENEZ FAMILY CHILD CARE
FACILITY NUMBER: 336300653
VISIT DATE: 10/18/2023
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The licensee was advised the Department will monitor the licensee’s compliance plan over the next 24 months to verify licensee remains in compliance with licensing laws and regulations. The licensee understands and acknowledges that the Department, at its discretion, will make unannounced inspections over the next 24 months to monitor the compliance of this plan. A copy of this report and Non-Compliance Facility Plan (LIC 9111) was reviewed and provided to licensee, Rosaura Jimenez on this date.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jeanette Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023
LIC809 (FAS) - (06/04)
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