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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334816729
Report Date: 10/15/2024
Date Signed: 10/15/2024 11:37:12 AM

Document Has Been Signed on 10/15/2024 11:37 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
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: 6CENSUS: 1DATE:
10/15/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:17 AM
MET WITH:Marichel DiazTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On October 15, 2024 at 10:17 am, Licensing Program Analyst (LPA) Cindy Hamilton conducted an unannounced case management visit and met with licensee Maria Diaz. Licensee Marichel Diaz arrived at facility and met with LPA at 10:31 am. 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.

No deficiencies were cited during this visit. Licensee will submit to the Department an updated safety plan, updated facility sketch to show off-limit and daycare areas and updated facility schedule. Updates will be provided to LPA via email by close of business October 21, 2024.

An exit interview was conducted, a Notice of Site Visit, appeal rights and a copy of this report was provided to Marichel Diaz. Licensee was 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: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2024
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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