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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334805043
Report Date: 08/21/2020
Date Signed: 09/03/2020 09:05:05 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:PALM VALLEY PRESCHOOLFACILITY NUMBER:
334805043
ADMINISTRATOR:KAIRA BEACHFACILITY TYPE:
850
ADDRESS:35-525 DA VALL DRIVETELEPHONE:
(760) 328-0861
CITY:RANCHO MIRAGESTATE: CAZIP CODE:
92270
CAPACITY:108CENSUS: 53DATE:
08/21/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Kaira BeachTIME COMPLETED:
09:40 AM
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Due to COVID-19, a tele-inspection was conducted. Licensee has requested for increase of capacity from 108 children to 180 children by adding two classrooms from the private elementary school on the same premises. On 8/27/2020, Licensing Program Analyst (LPA) Kim Leung met facility director Kaira Beach via FaceTime conducting an inspection. Director guided LPA on a virtual tour to the five activity rooms that are currently in use. Census was taken and criminal record clearances of the staff present were verified. A sample of children's records, staff records and disaster drill log were requested. The inspection would be continued at a later time due to technical issue.

No deficiency was cited at this time.

LPA provided the director with a copy of this report and a Notice of Site Visit via email this date on 8/27/2020. 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 director this date on 8/27/2020.

This report must be made available at the facility for 3 years for public review upon request.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2020
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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