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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 330910849
Report Date: 03/30/2022
Date Signed: 03/30/2022 02:00:22 PM


Document Has Been Signed on 03/30/2022 02:00 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:RUSD/SUNSHINE ELEMENTARYFACILITY NUMBER:
330910849
ADMINISTRATOR:CARRIE ANTRIMFACILITY TYPE:
850
ADDRESS:9390 CALIFORNIA AVENUETELEPHONE:
(951) 352-8488
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY:23CENSUS: 0DATE:
03/30/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Luz Romero, Early Childhood Services Specialist TIME COMPLETED:
02:05 PM
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On 03/30/2022, Licensing Program Analysts (LPAs) Karrene Phillips and Samuel Lopez conducted a Case Management inspection at the licensee representative request to change rooms from Room 9 to Room 11. The fire clearance was completed on 02/10/2022. During today's inspection, LPAs Phillips and Lopez met with Early Childhood Services Specialist, Luz Romero, whom provided access to the campus and classroom. There were no children at the facility due to staff professional development day.

Preschool (Room11) Indoor Activity Area
LPA has determined that there is sufficient space to accommodate 25 children.

Preschool Bathroom Fixtures
1 Toilet x 15 = 15 children
2 Sinks x 15 = 30 children

* Waiver request for shared usage of bathroom located inside the library will be submitted.

Preschool Outdoor Activity Area
LPA has determined that there is sufficient space to accommodate the requested capacity. The existing play structure was observed in good repair. The play structure continues to have sufficient cushioning material underneath the entire surface. Although there is a sufficient amount of square footage for the requested capacity, and an existing waiver is on file for the shared playground with Special Education; Ms. Romero inquired about using another playground due to overflow and will submit a waiver.

Limiting factor for preschool capacity is the fire clearance granted. Preschool capacity is limited to 23 children.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Karrene PhillipsTELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:
DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2022
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 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: RUSD/SUNSHINE ELEMENTARY
FACILITY NUMBER: 330910849
VISIT DATE: 03/30/2022
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No deficiencies observed/cited during this inspection.

Room change approval is pending due to the request for shared restroom.

Exit interview conducted and report was reviewed with the Early Childhood Services Specialist, Luz Romero..

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Karrene PhillipsTELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022
LIC809 (FAS) - (06/04)
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