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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334816729
Report Date: 05/01/2024
Date Signed: 05/01/2024 03:50:25 PM

Document Has Been Signed on 05/01/2024 03:50 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/
DIRECTOR:		DIAZ, MARICHEL & MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 805-2700
CITY:WILDOMARSTATE: CAZIP CODE:
92595
CAPACITY: 14TOTAL ENROLLED CHILDREN: 22CENSUS: 10DATE:
05/01/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:51 PM
MET WITH:Marichel DiazTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On May 1, 2024, Licensing Program Analyst (LPA) Cindy Hamilton conducted an unannounced case management visit and met with licensees Marichel Diaz and Maria Diaz. The facility was placed on required visits during a Non Compliance Office Meeting that took place on November 28, 2023, due to concerns associated with the facility history of repeat violations; lack of supervision and personal rights violations.

LPA observed that there was appropriate care and supervision during the visit and the facility was within capacity and ratio limitations. A tour of the facility was conducted and LPA reviewed staff and children records.

No deficiencies were cited during this visit.

An exit interview was conducted, a Notice of Site Visit, appeal rights and a copy of this report was provided to Marichel Diaz and Maria Diaz. Licensees were reminded that the Notice of Site Visit must remain posted for 30 consecutive days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
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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