330910850-3-2-2021-09-CC-SRON-BYQUGH-20210302143421

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 330910850
Report Date: 03/02/2021
Date Signed: 03/02/2021 02:41:31 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:	RUSD/FREMONT HEADSTART SITE		FACILITY NUMBER:	330910850
ADMINISTRATOR:	SHANI DAHL		FACILITY TYPE:	850
ADDRESS:	1925 ORANGE STREET		TELEPHONE:	(951) 788-7466
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92501
CAPACITY:	24	CENSUS: 0	DATE:	03/02/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Luz Romero, Early Childhood Services Specialist		TIME COMPLETED:	02:00 PM

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March 2, 2021 Due to COVID-19, Licensing Program Analyst (LPA) Sharleen Robinson conducted a Licensee initiated Case Management Tele-inspection with Luz Romero, Early Childhood Services Specialist. LPA met with Luz Via FaceTime. The Coordinator has requested to use Fremont Elementary classroom #5 while the primary preschool classroom PS is undergoing major construction from approximately March of 2021 through March of 2022. There are no changes to the capacity. The coordinator also requested a waiver to share Fremont Elementary School bathrooms. A shared playground waiver is on file.

LPA inspected the proposed temporary classroom #5, proposed shared bathrooms and reviewed the measurements. LPA determined there is adequate indoor activity space to accommodate 24 preschool children. There were no changes to the outside play area.

Room #5 is equipped with age appropriate furniture and the equipment is in good condition. The floors were clean and safe, the room was clean and free of hazards. Hazards are stored where inaccessible to children which includes: disinfectants, cleaning solutions and other items that are dangerous to children. Storage areas for poisons and toxins are locked. No medications are stored in this classroom. The facility has a functioning carbon monoxide detector. Water fountains, water container and cups will supply drinking water to children. Room #5 is in substantial compliance. Limiting factor for preschool capacity is the requested capacity of 24 preschool children.

There are two bathrooms located outside of the classroom, the boys bathroom has 4 urinals, 3 stalls and 4 sinks. The girls bathroom has 4 stalls and 4 sinks. There are enough operational toilets, urinals and sinks to accommodate 24 preschool children.

Room measurements are as follows:
29 x 31= 899/35 = 25 children
See LIC809C for the remainder of the report>>>>>>>>>>>>>>>>>>>>>>>>

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Sharleen Robinson	TELEPHONE: (951) 233-7183
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021

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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RUSD/FREMONT HEADSTART SITE	FACILITY NUMBER: 330910850
	VISIT DATE: 03/02/2021

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Total fixtures
4 urinals x 15= 60
7 stalls x 15= 105
8 sinks x 15 = 120

Prior to use of room #5 the following corrections are required:
The facility must obtain a fire clearance
The facility must obtain a waiver for shared bathrooms

An exit interview was conducted via FaceTime, LPA Robinson provided the Early Childhood Services Specialist with a copy of this report and notice of site visit via email, LPA Asked the Early Childhood Services Specialist to acknowledge receipt of the email. An electronic “read receipt” was also attached. The electronic read receipt of the emailed report acknowledges receipt of this report. A copy of this report was emailed to the Early Childhood Services Specialist during this Tele-inspection on March 2, 2021.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Sharleen Robinson	TELEPHONE: (951) 233-7183
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021

LIC809 (FAS) - (06/04)

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