<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846004
Report Date: 11/01/2022
Date Signed: 11/01/2022 01:25:34 PM

Document Has Been Signed on 11/01/2022 01:25 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:NOBLE FAMILY CHILD CAREFACILITY NUMBER:
334846004
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
11/01/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Mercedes Noble, LicenseeTIME COMPLETED:
01:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On November 1, 2022, an Informal Conference was held at the Riverside Regional Office. Present in the conference were the Licensee, Mercedes Noble; Licensing Program Manager (LPM) Aaron Ross; and Licensing Program Analyst (LPA) Kay Turner.

The conference was held to discuss the following sections of Title 22 Regulations and Health and Safety Code:
I. 102370(d)(1) Criminal Record Clearances
II. 102416.5 (b)(2) Staffing Ratio and Capacity

The Licensee indicated that procedures have been implemented to ensure compliance of the above topics. Licensee agrees to submit a written plan detailing supervision and ratio related to case management inspection conducted on 10/13/2022. Written plan due by 11/11/2022.

Licensee was advised to visit the Department's website at: https://cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers; http://www.ccld.ca.gov/ on a regular basis for licensing updates. Licensee was advised to review Child Care Center Operators videos related to: Background Check Requirements for Caregivers and How Many Children Can Attend a Family Child Care Home at the Child Care Provider video website link: https://ccld.childcarevideos.org/family-child-care-providers/

During this conference, contact information of the local Resource and Referral Agency brochure was provided to Licensee. Licensee agrees to ensure that the facility is operating in substantial compliance of California Code of Regulations Title 22, Division 12.

Licensee was granted capacity increase to 14 as of 11/01/2022. An exit interview was conducted with Licensee, Mercedes Noble.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1