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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843597
Report Date: 09/09/2022
Date Signed: 09/09/2022 02:14:00 PM

Document Has Been Signed on 09/09/2022 02:14 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:QUEVEDO FAMILY CHILD CAREFACILITY NUMBER:
334843597
ADMINISTRATOR:IVE QUEVEDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 902-1473
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
09/09/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:59 PM
MET WITH:Ive QuevedoTIME COMPLETED:
02:22 PM
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At 1: 59 PM, on September 9, 2022, Licensing Program Analysts (LPA) Ana Noble and Lorena Valenzuela arrived at facility, to address and discuss with Licensee Ive Quevedo the Decision and Order from the Department that went into effect on September 6, 2022. The Decision was ordered on August 26, 2022.

Ms. Quevedo stated that she received her copy of the Decision and Order and thoroughly understands it. LPA Noble went over the Decision and Order with Ms. Quevedo.

Ms. Quevedo understands that her license to operate a child care facility, regulated by the Department was revoked in the Order, that she is excluded from all facilities licensed by the Department or certified by a licensed foster family agency and from holding the position of member of the board of directors, executive director, or officer of the licensee of any facility licensed by the Department for two (2) years from the effective date of this Order, unless otherwise ordered by the Department.

Ms. Quevedo ceased operation of the family child care home on August of 2021, hasn't had children since then. LPA observed Ms. Quevedo, a aunt and uncle and Ms. Quevedo's two children. No day-care children present during visit.

An exit interview was conducted and a copy of this report and Decision and Order was provided to Ms. Quevedo on this date.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 09/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/09/2022
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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