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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334818653
Report Date: 05/31/2022
Date Signed: 05/31/2022 01:12:38 PM

Document Has Been Signed on 05/31/2022 01:12 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:MORALES FAMILY CHILD CAREFACILITY NUMBER:
334818653
ADMINISTRATOR:MORALES,MARICELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 733-2760
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
05/31/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Maria Ponce- renterTIME COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Diana Brasel arrived at the facility on the above noted date and time to conduct a 1 year required visit. LPA was greeted by an adult whom spoke little English and LPA doesn't speak Spanish. Ms. Ponce called the licensee Ms. Morales via cell phone to speak with the licensee.
The following information was provided.

The licensee advised LPA that she moved from the facility approximately September 2021. Per Ms. Morales she advised licensing but has not of this date submitted a new license for where she resides now. Ms. Morales stated, Ms. Maria Ponce rents the house. There is currently no day care operation at this facility.
LPA discussed with Ms. Morales what would be required of her if she cared for multiple families at her new address.

Ms. Ponce agreed to signing and receiving a copy of this report on this date. LPA provided Ms. Ponce a copy of this report for Ms. Morales.
The fees are current as of this date.
LPA will close the facility as of today 05/31/2022.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2022
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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