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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364803632
Report Date: 12/19/2022
Date Signed: 12/19/2022 05:09:00 PM

Document Has Been Signed on 12/19/2022 05:09 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:WILLIAMS FAMILY CHILD CAREFACILITY NUMBER:
364803632
ADMINISTRATOR:WILLIAMS, APRILFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 797-7846
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 0DATE:
12/19/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:55 PM
MET WITH:Licensee April WilliamsTIME COMPLETED:
05:15 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 12/19/2022 an unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Susan Brewer. LPA met with the Licensee April Williams, at the time of the inspection and stated the purpose for the visit. The facility was not operating, therefore a tour was not conducted and a census was taken 0 children present

The purpose of the inspection was to deliver an amended licensing report for deficiency cited on September 30, 2022, for a Type A citation which was appealed and dismissed. During today’s inspection, LPA S.Brewer delivered the amended report for the original pages numbered 1 and 4 of 7.
 
No deficiencies were cited during today's inspection.

No civil penalties were issued.
 
An exit interview was conducted with April Williams. A copy of this report was provided to the licensee on this date and must be made available to the public upon request for the next 3 years.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2022
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