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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334802965
Report Date: 10/04/2019
Date Signed: 10/04/2019 09:22:25 AM

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:UC RIVERSIDE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334802965
ADMINISTRATOR:KIMBERLY PIXLEYFACILITY TYPE:
830
ADDRESS:3333 WATKINS DRIVETELEPHONE:
(951) 827-3854
CITY:RIVERSIDESTATE: CAZIP CODE:
92507
CAPACITY:54CENSUS: 14DATE:
10/04/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Kimberly Pixley, Director TIME COMPLETED:
09:35 AM
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Licensing Program Analyst Sharleen Robinson arrived at the facility to conduct a plan of correction visit. LPA met with Director Kimberly Pixley, LPA took census and toured the playground to ensure corrections were made related to the annual inspection that was conducted August 7, 2019. LPA observed the following corrections:

1. The playground was cleaned

2. Cushioning material repaired

3. The water fountain was unclogged

4. The sand box was emptied



Citation cleared during the visit. Exit interview conducted with the Director, Notice of Site visit posted and a copy of this report was provided to the Director.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 233-7183
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019
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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