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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 330900318
Report Date: 09/04/2019
Date Signed: 09/04/2019 01:01:59 PM

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:FIRST CHRISTIAN CHURCH PRESCHOOLFACILITY NUMBER:
330900318
ADMINISTRATOR:LISA VILLAFACILITY TYPE:
850
ADDRESS:4055 JURUPA AVENUETELEPHONE:
(951) 683-5780
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY:50CENSUS: 31DATE:
09/04/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Breit Mcintosh and Christine Beeler, Lead teachers TIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Sharleen Robinson arrived at the facility, for the purpose of conducting a case management follow-up visit; regarding an unusual incident report that was submitted by the facility on August 30, 2019. LPA met with Breit Mcintosh and Christine Beeler, Lead teachers to discuss the reported incident. There were 31 children in care. LPA conducted interviews, reviewed the facility video footage, toured the facility where the alleged incident occurred and reviewed records.

The self reported unusual incident is regarding a child whose personal rights, were allegedly violated by another child, while in care at the facility. It is alleged that on or about August 29, 2019 a child told their representative that another child in care violated their personal rights. Further information required to determine if a child's personal rights were violated. At the conclusion of the review, the findings will be shared with the Director.

An exit interview was conducted, a notice of site visit and a copy of this report provided to Christine Beeler, Lead teacher. No deficiencies cited at this time.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 233-7183
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019
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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