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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403707
Report Date: 05/21/2019
Date Signed: 05/21/2019 10:58:26 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME:SIERRA SCHOOLFACILITY NUMBER:
197403707
ADMINISTRATOR:HERATH, LALANIEFACILITY TYPE:
850
ADDRESS:18045-47 SIERRA HIGHWAYTELEPHONE:
(661) 252-6422
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY:85CENSUS: 29DATE:
05/21/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:13 AM
MET WITH:Lalanie HerathTIME COMPLETED:
11:00 AM
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Licensing Program Analysts (LPA) Lawson met with Director Lalanie Herath, for a Case Management- Other inspection. LPA Lawson conducted a tour of the facility and observed 29 children, 3 teachers, and the director. The facility is operating within proper capacity and ratios.

The purpose of the inspection is to conduct a health and welfare check to ensure the heath and safety of the children are being met and the Decision and Order is being followed.

A random selection of children's records were reviewed to determine whether the Director has abided with the terms and conditions of the decision and order. During time of inspection LPA observed the facility to be providing adequate care and supervision, and following the the terms and conditions stipulated in the decision and order.

No deficiencies were observed at the time of the inspection. An exit interview was conducted and a copy of this report was read and submitted to Director, Lalanie Herath.

A copy of this report must be made available to the public for 3 years.

For additional information and forms visit our website at: www.cdss.ca.gov.

For updates on Community Care Licensing please visit the following website at: Childcareadvocatesprogram@dss.ca.gov

An exit Interview was conducted, a copy of this Report and a Notice of Site visit was provided.

SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Tyicee LawsonTELEPHONE: (661) 568-8103
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019
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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