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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300776
Report Date: 08/15/2024
Date Signed: 08/15/2024 09:51:34 AM

Document Has Been Signed on 08/15/2024 09:51 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
336300776
ADMINISTRATOR/
DIRECTOR:		HERNANDEZ, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 641-2481
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
08/15/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Laura HernandezTIME VISIT/
INSPECTION COMPLETED:
10:05 AM
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On this date and time, Licensing Program Analyst (LPA) Gabriela Hernandez arrived at the facility to conduct an unannounced case management visit. A Decision and Order (D&O) was served via 1st class mail on August 5, 2024, and became effective on August 15, 2024. The Decision and Order states, Emilia Hernandez, has been prohibited from any care facility licensed by the Department for the remainder of their life effective 08/15/2024. The department has not received a request to set aside the default Decision and Order from licensee.

During this visit, LPA took a census, made observations of the family child care home, and completed walk through of entire home to verify Emilia Hernandez is not present or living in the home. There were 5 children present with Licensee.

An additional copy of the D&O was provided to former licensee, Laura Hernandez by LPA Hernandez during today’s inspection. Licensee acknowledged receipt and understanding of the Decision and Order which reads: Respondent Emilia Hernandez is prohibited from employment in, presence in, and contact with clients of, any facility licenses by the Department, certified or approved by a licenses foster family agency, or any resource family home, and from holding the position of member of board of directors, executive director, or office of the license of any facility licensed by the Department, for the remainder of the Respondent’s life.



A notice of site visit was given and must remain posted for 30 days.

An exit interview was conducted, and this report was reviewed with the licensee Laura Hernandez. Appeal rights were discussed and provided during the exit interview.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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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