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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844727
Report Date: 03/28/2023
Date Signed: 03/28/2023 05:04:28 PM

Document Has Been Signed on 03/28/2023 05:04 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:RICE FAMILY CHILD CAREFACILITY NUMBER:
364844727
ADMINISTRATOR:TEONA RICEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(708) 983-8308
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91739
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 14DATE:
03/28/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:21 PM
MET WITH:Destiny Bailey/ assistant TIME COMPLETED:
05:30 PM
NARRATIVE
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On 3/28/23 at 3:00 pm, Licensing Program Analyst's (LPA's) Patricia Berry and Kay Turner conducted a case management- deficiency inspection. During the course of a complaint investigation LPA's observed fourteen children with no assistant. The licensee was not home, and one cleared person was watching all fourteen children. According to 102416.5 Staffing Ratio and Capacity (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).

Deficiency cited on 809D


Exit interview conducted with licensee, report, acknowledgement of receipt, appeal rights and notice of site visit issued


Notice of Site Visit Issued.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2023
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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Document Has Been Signed on 03/28/2023 05:04 PM - It Cannot Be Edited


Created By: Patricia Berry On 03/28/2023 at 03:41 PM
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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RICE FAMILY CHILD CARE

FACILITY NUMBER: 364844727

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/29/2023
Section Cited
CCR
102416.5(e)

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Staffing Ratio and Capacity (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child ...
This requirement was not met as evidenced by
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Licensee will review the Community Care Licensing videos on the ccld.ca.gov website on capacity and supervision and will send the names of the videos to LPA by 3/29/23
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Based on LPA's observation the facility was over capacity of 14 children without an assistant.

This is an immediate risk to the health and safety of children in care.
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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.
SUPERVISOR'S NAME:Gilbert Sena
LICENSING EVALUATOR NAME:Patricia Berry
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2023


LIC809 (FAS) - (06/04)
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