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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846248
Report Date: 11/21/2023
Date Signed: 11/21/2023 01:16:38 PM

Document Has Been Signed on 11/21/2023 01:16 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:STOLL FAMILY CHILD CAREFACILITY NUMBER:
364846248
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 5DATE:
11/21/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:44 PM
MET WITH:Michelle StollTIME COMPLETED:
01:25 PM
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On 11/21/2023 at 12:44 PM, Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conduct a Case Management visit for the purpose of a capacity increase. Present during this inspection was Licensee, Michelle Stoll. LPA toured the facility, inside and out and the following was observed and/or discussed:

Normal days and hours of operation are Monday – Friday from 7:30 AM – 4:30 PM.

OFF-LIMIT AREAS INCLUDE: All bedrooms, kitchen and garage

· Appropriate fire extinguisher, smoke detector and carbon monoxide detector are present and were tested by the licensee during this inspection. Fire extinguisher, smoke detector and carbon monoxide detector are in working order.
· All hazardous items are made inaccessible
· Toxins are locked
· No guns or weapons present as of this date, per licensee. Licensee understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 Regulations.
· There are no stairs present in the home
· Fireplace is properly screened to prevent access to children
· Storage of poisons are inaccessible to children
· Proof of control of property is on file.

· Children and personnel files were in compliance.

· Facility Sketch and Emergency Disaster Plan are posted

· Pediatric CPR and First Aid Card expires on 11/1/2024.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: STOLL FAMILY CHILD CARE
FACILITY NUMBER: 364846248
VISIT DATE: 11/21/2023
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·Mandated Reporter Training Certificate expires on 03/19/2024

· Health & Safety Certificate - completed on 07/13/2022

· Fire clearance granted on 10/23/2023

· Clean, safe and age-appropriate toys

· There are no toxic plants observed at this time




No bodies of water are present at this time. Licensee understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 Regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.

LPA went over the capacity regulations for a large family child care home with Licensee Michelle Stoll and provided licensee with a copy of the capacity regulations diagram.

Upon final review, the application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 14 with parent notification.


Exit interview conducted and report was reviewed with Licensee, Michelle Stoll.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2023
LIC809 (FAS) - (06/04)
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