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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334816729
Report Date: 11/28/2023
Date Signed: 11/28/2023 03:22:38 PM

Document Has Been Signed on 11/28/2023 03:22 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:DIAZ FAMILY CHILD CAREFACILITY NUMBER:
334816729
ADMINISTRATOR:DIAZ, MARICHEL & MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 805-2700
CITY:WILDOMARSTATE: CAZIP CODE:
92595
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/28/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Marichel Diaz and Maria Diaz, Licensee'sTIME COMPLETED:
03:30 PM
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On 11/28/23, a non-compliance conference was held at the Riverside Child Care Office. Present during the conference were Regional Manager, Stephanie Hudak, Licensing Program Manager Pauline Beschorner, Licensing Program Manager Carlos Martinez, Licensing Program Analyst Anastasia Flores, Licensing Program Analyst Cindy Hamilton, and Licensees Marichel and Maria Diaz.

The following items were discussed:

1. Personal Rights,
2. Operation of a Family Child Care Home
3. Reporting Requirements
4. Infant Safe Sleep

Licensee understands that the center will be placed on a compliance plan for a period of two years, which includes unannounced required visits by the department. 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.

This report was reviewed with and provided to Licensees Marichel and Maria Diaz.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023
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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