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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364803632
Report Date: 10/24/2023
Date Signed: 10/24/2023 09:51:37 AM

Document Has Been Signed on 10/24/2023 09:51 AM - 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: 14CENSUS: 2DATE:
10/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:April WilliamsTIME COMPLETED:
10:00 AM
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On 10/24/2023 at 9:25 AM, Licensing Program Analysts (LPAs) Raymond Moorehead and Elyse Jones arrived at the facility with an attempt to conduct an annual inspection. LPAs were greeted by licensee April Williams. Licensee April Williams stated that she was not going to renew her Licensee when it is due next year as she plans on closing out her licensee. Licensee stated she would like to close her facility during today's inspection. Further, Licensee stated that she is currently only taking care of her grandchildren and would like to close out her license.

Licensee provided her original license and a written statement requesting to close the facility permanently.

LPAs informed the Licensee that she can only provide care for the children of one family or blood related.

Per the Licensee's request this facility is closed effective October 24, 2023.

Exit interview conducted and report was reviewed with April Williams, Licensee.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2023
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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