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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846116
Report Date: 01/04/2022
Date Signed: 01/04/2022 02:13:36 PM

Document Has Been Signed on 01/04/2022 02:13 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:BUFORD FAMILY CHILD CAREFACILITY NUMBER:
334846116
ADMINISTRATOR:BUFORD, EVELYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 326-4248
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
01/04/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Evelyn BufordTIME COMPLETED:
02:15 PM
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On this date and time, Licensing Program Manager (LPM), Kimberly Williams, and Licensing Program Analysts (LPAs) Laura Mejorado and Patricia Berry, met with Applicant, Evelyn Buford, for an office meeting. The meeting focused on the non-compliance history for Applicants previously licensed facility (334845542), status of training completion required during the Non Compliance Conference (NCC) held on March 11, 2020, outstanding requirements for the pending application, the Department’s expectations regarding supervision and resources for sustainable compliance.

Facility's prior Non Compliance history was reviewed during the office meeting. Applicant agrees to ensure that the facility will operate in substantial compliance of California Code of Regulations Title 22, Division 12, Chapter 1. upon licensor. Applicant agrees to complete the outside vendor and/or the local resource and referral office training which focuses on Care and Supervision which was part of the prior NCC compliance plan. LPA provided Applicant information on Riverside County Office of Education (800) 442-4927. Applicant advised during todays meeting they will not be providing pick up and drop off services. Applicant agrees to submit a copy of their proposed parent contract stating they will not be providing pick up and drop off services and their plan on how appropriate supervision will be provided. Applicant understands if licensed they will continue to receive increased unannounced visits from licensing for the next 24 months that was discussed during the prior NCC.

This report was reviewed with Applicant, Evelyn Buford, and a copy was provided. A copy of the report shall be made available for public review for three years.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE: DATE: 01/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/04/2022
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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