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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841824
Report Date: 03/14/2025
Date Signed: 04/09/2025 07:42:03 AM

Document Has Been Signed on 04/09/2025 07:42 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:CORDERO FAMILY CHILD CAREFACILITY NUMBER:
334841824
ADMINISTRATOR/
DIRECTOR:		CORDERO, SANDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 610-1429
CITY:INDIOSTATE: CAZIP CODE:
92203
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/14/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:11 PM
MET WITH:Sandra CorderoTIME VISIT/
INSPECTION COMPLETED:
02:35 PM
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 03/14/2025 at 1:10 pm, Licensing Program Analyst (LPA) Gabriela Hernandez conducted a case management visit to address an issue separate from complaint investigation (Complaint Control Number 10-CC-20250227162240) which was conducted.

During the course of the complaint, it was revealed A1 and A2 have been living at the family child care home with their 2 children for approximately 8 months per interview with Licensee. Licensee confirmed A1 and A2 have not completed their fingerprints.

The facility is being cited for Title 22 Regulation Section 102370(d)(1) Criminal Record Clearance.

A Civil Penalty of $500.00 was assessed for this violation of Title 22 Regulations. See LIC 421BG.

An exit interview was conducted with Licensee Sandra Cordero. A copy of this report, 809D, LIC421BG and appeal rights were reviewed and handed to Licensee.

Licensee Sandra Cordero was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

If the facility receives a Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file.

NAME OF LICENSING PROGRAM MANAGER: Pauline Beschorner
NAME OF LICENSING PROGRAM ANALYST: Gabriela Hernandez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
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 2
Document Has Been Signed on 03/14/2025 02:14 PM - It Cannot Be Edited


Created By: Gabriela Hernandez On 03/14/2025 at 01:11 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CORDERO FAMILY CHILD CARE
FACILITY NUMBER: 334841824

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
03/14/2025
Section Cited
CCR
102370(d)(1)

1
2
3
4
5
6
7
102370(d)(1) Criminal Record Clearance; All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This was not met as evidenced by…
1
2
3
4
5
6
7
Licensee stated they will submit LIC9211 form to be inactive. Licensee handed the inactive form today to LPA. Licensee will have A1 and A2 complete their fingerprints as soon as possible and submit live scan form to LPA confirming they have been completed.
8
9
10
11
12
13
14
Based on interview with Licensee, A1 and A2 have been living in the home for about 8 months. Licensee confirmed A1 and A2 have not completed their fingerprints. LPA confirmed they are not listed on Guardian Roster. This poses an immediate health, safety, and personal rights risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Pauline Beschorner
LICENSING EVALUATOR NAME:Gabriela Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2025


LIC809 (FAS) - (06/04)
Page: 2 of 2