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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334816561
Report Date: 02/07/2024
Date Signed: 02/07/2024 10:35:13 AM

Document Has Been Signed on 02/07/2024 10:35 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:DUARTE FAMILY CHILD CAREFACILITY NUMBER:
334816561
ADMINISTRATOR:DUARTE, GRACEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 369-7251
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/07/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Licensee Grace DuarteTIME COMPLETED:
10:45 AM
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On 02/07/2024 at 8:25 AM Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility for the purpose of conducting a Case Management Inspection, to verify the operation status of the facility. The facility requested Inactive Status which expired on 09/30/2023. The department has made attempts to contact with licensee by phone and e-mail, but did not have successful contact. The LPA was greeted and granted entry into the facility by the Licensee Grace Duarte and the following was discussed: The LPA took a census of 0 children in the home. No other residents were present during the inspection. During the course of the inspection, the licensee stated their landline telephone is not working and provided an alternate phone number. The licensee stated, they wish to remain on inactive status and submitted a new LIC9211 Request for Inactive Status form beginning 02/07/2024 and ending 07/31/2024. LPA verified that the annual fees were up to date. While on Inactive Status the licensee agrees to the following:
a. I will not provide child care for which a license is required until my license is reactivated.
b. I will continue to promptly pay the annual license fee. Next payment for annual fee due 02/17/2024.
c. I will inform your office of any changes in the above dates prior to re-opening my facility by submitting a new LIC 9211.
d. I will be in compliance with all licensing laws and regulations upon re-opening my 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; Maintaining current CPR and First Aid certifications; Maintaining a current fire extinguisher and functioning smoke alarms and carbon monoxide detectors..
e. In addition, the licensee was reminded of the following Title 22 Regulation, Section 102369 (b) The applicant shall provide all of the following information...(9) Evidence of a current tuberculosis clearance, not more than one year prior to or seven days after initial presence in the home, for any adult in the home during the time that children are under care.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed and a copy was left with the licensee Grace Duarte.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2024
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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