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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 330911585
Report Date: 05/15/2019
Date Signed: 05/15/2019 04:53:51 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:RCOE - MORENO VALLEY HEAD STARTFACILITY NUMBER:
330911585
ADMINISTRATOR:CHRISTINE CHRESTFACILITY TYPE:
850
ADDRESS:16130 LASSELLETELEPHONE:
(951) 924-6974
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92551
CAPACITY:34CENSUS: 25DATE:
05/15/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:35 PM
MET WITH:Alma AguilarTIME COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Kim Leung conducted a follow up visit at the facility to gather information on the Unusual Incident Report (UIR) received on 4/11/2019. It was reported that the facility failed to protect a child's safety that the child was being grabbed and hit when staff were not present. On 4/26/2019, LPA Yolanda Jackson conducted a case management visit at the facility regarding the UIR. Records were reviewed during that visit.

Interview was conducted prior to this visit. During visit this date on 5/15/2019, LPA observed teacher-child interactions and program activities. Interviews with staff and children were conducted. LPA obtained no information to support that alleged incident. Based on information gathered, no violation has been identified at this time.

An exit interview was conducted with contact teacher Alma Aguilar, Notice of Site Visit was issued and must be posted for 30 days. A copy of this report was provided to facility staff.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
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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