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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845187
Report Date: 05/14/2024
Date Signed: 05/28/2024 03:19:34 PM

Document Has Been Signed on 05/28/2024 03:19 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:PETERSON FAMILY CHILD CAREFACILITY NUMBER:
334845187
ADMINISTRATOR/
DIRECTOR:
BRITTNEY PETERSONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 534-0058
CITY:PALM DESERTSTATE: CAZIP CODE:
92211
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
05/14/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Brittney PetersonTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On May 14, 2024, a non- compliance conference was held with licensee Brittney Peterson via Microsoft Teams video platform. In attendance were licensee Brittney Peterson, Regional Manager (RM) Stephanie Hudak, Licensing Program Manger (LPM) Deborah Mullen and Licensing Program Analyst (LPA) Lorena Valenzuela.
The following concerns were discussed with licensee by Regional Manager Stephanie Hudak.

· Operation of a Family Child Care Home regarding lack of supervision of children in care

· Personnel Requirements regarding uncleared adults present or working in the day care home

· Reporting Requirements regarding an injury sustained by a child in care that required medical treatment, not being reported to the Department
Regional Manager Stephanie Hudak discussed a compliance plan with the licensee which includes the following:
Licensee agrees to submit a detailed written plan within 30 days of today’s date (5/14/2024). The written plan must address step by step procedures to prevent repeat violations of care and supervision, reporting requirements and criminal record clearances and repeat civil penalty assessment(s) that pertain to Title 22 regulations.
Licensee agrees to seek outside vendor training with Riverside County Office of Education Resource and Referral, and to complete and/or schedule a compliance training and a training on supervision of children, by close of business on 5/30/24.
In addition, Licensee states she will check a nearby community college to see if there are classes specific to special needs/ autistic children. Licensee states she will enroll in the Department’s family childcare home orientation class as a refresher training. Licensee states she will talk to parents/authorized representatives for possible resources or supports for their children provided by the Inland Regional Center.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: PETERSON FAMILY CHILD CARE
FACILITY NUMBER: 334845187
VISIT DATE: 05/14/2024
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Licensee was advised the Department will monitor the licensee’s compliance plan over the next 12 months to verify licensee remains in compliance with licensing laws and regulations. The licensee understands and acknowledges that the Department, at its discretion, will make unannounced inspections over the next 12 months to monitor the compliance of this plan. If the Department determines that the licensee has violated the law or regulations it may refer the facility for revocation or other appropriate administrative action.

Proof of enrollment into all training's must be submitted to the Department within 30 days (6/14/2024) and submit proof of completion within 90 days of today’s conference (8/14/2024).

Licensee Peterson agreed with compliance plan and to all recommendations made. Regional Manager Stephanie Hudak advised licensee that although a compliance plan was made and agreed upon, this does not preclude the Department form seeking legal advice from the Department’s legal team and taking additional recommended actions.

A copy of this report was emailed to licensee Brittney Peterson for signature. Copy of appeal rights was also emailed.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC809 (FAS) - (06/04)
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