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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300753
Report Date: 05/21/2025
Date Signed: 05/21/2025 01:17:07 PM

Document Has Been Signed on 05/21/2025 01:17 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:WALKER FAMILY CHILD CAREFACILITY NUMBER:
336300753
ADMINISTRATOR/
DIRECTOR:		WALKER, BROOKEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 251-9298
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
05/21/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Brooke WalkerTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On 05/21/25, Licensing Program Analyst (LPA), Kelli Waters, conducted a subsequent unannounced Case Management visit to follow up on Unusual Incident Report (UIR) that was submitted to Licensing by the licensee on 01/14/25, regarding an incident that took place on 01/08/25. LPA met with Licensee, Brooke Walker, to discuss the resulting investigation and findings.

On 01/14/25, the Licensee reported the following: on January 8, 2025, while Licensee went to the restroom for approximately two minutes, Child #1 (C1) left the facility unaccompanied and was immediately found and returned to the facility.

LPA Waters interviewed licensee, reviewed records, conducted a visit to the area child was found, and obtained a police report from the Murrieta Police Department (MPD) regarding their investigation into the incident that occurred on 01/08/25. LPA Waters was unable to interview parent of C1. During the investigation, LPA Waters found that at approximately 7:30am while the licensee was in the restroom, C1 left the facility through the front door. No other children were present at this time. According to the MPD police report, C1 was found at Shady Maple Park, .2 miles away from the day care facility, by a community member, who then called MPD. The investigation determined that C1 was unsupervised and away from the facility for approximately 6-10 minutes. Licensee recovered C1 from Shady Maple Park prior to police arrival and returned to the daycare facility. Both Licensee and police report stated that the mother of C1 was notified and that C1 remained in care that day.

Licensee stated that she has since hired an assistant to help provide care in the mornings, reminded parents of the drop-off routines, as well as ensure child locks on all necessary doorknobs are in working order.
NAME OF LICENSING PROGRAM MANAGER: Carlos Martinez
NAME OF LICENSING PROGRAM ANALYST: Kelli Waters
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: WALKER FAMILY CHILD CARE
FACILITY NUMBER: 336300753
VISIT DATE: 05/21/2025
NARRATIVE
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LPA Waters reminded Licensee that according to regulation, 102416.2- Reporting Requirements, unusual incidents must be reported by telephone or fax by the next working day and that a written report must be submitted within 7 working days.

Based on information received during the investigation, the facility is being cited for violation of the California Code of Regulations Title 22 Section 102417(a) Operation of a Family Child Care Home, regarding children in care being supervised at all times. A Type A citation and immediate civil penalty of $500 will be assessed today.

See LIC 809D and LIC 421IM for deficiency cited.

An exit interview was conducted, and a copy of this report was provided.
A copy of this report must be made available to the public, at the facility site, for 3 years.
NAME OF LICENSING PROGRAM MANAGER: Carlos Martinez
NAME OF LICENSING PROGRAM ANALYST: Kelli Waters
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/21/2025 01:17 PM - It Cannot Be Edited


Created By: Kelli Waters On 05/21/2025 at 10:42 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: WALKER FAMILY CHILD CARE
FACILITY NUMBER: 336300753

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/30/2025
Section Cited
CCR
102417(a)

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102417 Operation of a Family Child Care Home
(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times…

This requirement was not met as evidenced by:
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Licensee will review the regulation and will submit a signed, dated letter of understanding, in addition to a plan of operation to ensure supervision at all times to LPA via email. Licensee will
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Based on interview and record review, the licensee did not comply with the section cited above in that C1 was out of the childcare facility unsupervised for approximately 6-10 minutes, which posed an immediate health, safety or personal rights risk to persons in care.
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Licensee will provide parents a copy of the report and will have all parent sign a LIC 9224 and keep all children's file for one year. Report and LIC 9224 must be provided to all new enrolled children for one year from date of citation.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Carlos Martinez
NAME OF LICENSING PROGRAM MANAGER:
Kelli Waters
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/21/2025


LIC809 (FAS) - (06/04)
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