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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841751
Report Date: 04/03/2023
Date Signed: 04/03/2023 02:07:16 PM

Document Has Been Signed on 04/03/2023 02:07 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:DIAZ FAMILY CHILD CAREFACILITY NUMBER:
334841751
ADMINISTRATOR:MARIA ELENA DIAZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 525-3084
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/03/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Maria DiazTIME COMPLETED:
02:20 PM
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On date and time listed above Licensing Program Analyst (LPA) Justin Giese arrived at the facility to conduct an unannounced Case Management visit. LPA met with Licensee Maria Diaz who advised LPA she will no longer providing day care services. During the visit, Licensee surrendered her license. LPAs advised Licensee her day care license will be closed effective immediately.

Licensee also advised if she wish to operate a day care facility again in the future, she will have to reapply for a license. Providing child care without a license is illegal. However, you do not need a license in the following situations:

(1) The children being cared for are related by blood or marriage to you.

(2) The children being cared for are from one family in addition to your own children.

(3) The care provided to children is part of a cooperative arrangement between parents for the care of their children where each parent, or set of parents, rotates as the responsible caregiver with respect to all the children in the cooperative, and no payment for the care is involved.


Exit interview conducted and a copy of the report was provided to Licensee.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2023
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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