<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334800547
Report Date: 10/13/2022
Date Signed: 10/13/2022 10:26:34 AM

Document Has Been Signed on 10/13/2022 10:26 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:AGUILAR FAMILY DAY CAREFACILITY NUMBER:
334800547
ADMINISTRATOR:AGUILAR, ELVIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 653-3081
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/13/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:51 AM
MET WITH:Elvira Aguilar TIME COMPLETED:
10:36 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On October 13, 2022 at 09:51 AM, Licensing Program Analyst (LPA) Anastasia Flores arrived to conduct a compliance inspection. Licensee currently has no children in care and has not had children since the end of 2021. LPA explained Inactive status and the Licensee agreed to the following:

· Licensee will not provide child care for which a license is required until my license is reactivated.


· Licensee will continue to pay the annual license fees. Licensee understands that failure to pay the annual license fees will result in the closure of the facility.
· Licensee will inform the Licensing Office (RO) of any changes in the inactive dates by submitting a new LIC9211, before the expiration date of 10/13/23. Licensee understands an inspection is necessary prior to re-opening the facility and will contact or inform the assigned analyst or the “Duty Officer” prior to re-opening the facility to request an inspection.
· Licensee will be in compliance with all licensing laws and regulations upon re-opening the facility, including but not limited to: Ensuring all adult staff and residents, including children who turn 18 during the inactive period, have criminal record clearances.
· Licensee will ensure compliance with all new legislation and/or regulations.
· Licensee will maintain current CPR, First Aid, and Mandated Reporter Certifications.
· Licensee will maintain a current fire extinguisher, carbon monoxide, and functioning smoke alarms and/or detectors.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1