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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334806906
Report Date: 02/17/2022
Date Signed: 02/17/2022 10:49:08 AM


Document Has Been Signed on 02/17/2022 10:49 AM - 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:PALO VERDE COMMUNITY COLLEGE CHILD DEV. CENTERFACILITY NUMBER:
334806906
ADMINISTRATOR:MARIA KEHLFACILITY TYPE:
850
ADDRESS:557 N. LOVEKIN BLVDTELEPHONE:
(760) 922-8714
CITY:BLYTHESTATE: CAZIP CODE:
92225
CAPACITY:60CENSUS: 19DATE:
02/17/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Acting Director - Rachel BurtonTIME COMPLETED:
11:00 AM
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Due to COVID-19, on 02/17/2022 Licensing Program Analyst (LPA) Corral conducted a Case Management Inspection to provide Technical Assistance to the Facility. LPA Corral met with Acting Director, Rachel Burton. A tour of the facility was conducted and a census was taken.

During the inspection, LPA reviewed and discussed COVID-19 guidelines, resources, and postings with Raquel. COVID-19 information posters including hand-washing posters were observed in childcare areas and bathrooms. The entrance of the Facility also had face masks flyers for the parents. Children were observed wearing face masks. Raquel was advised to follow the childcare industry guidelines on face coverings, sanitation and other infection prevention measures.

During today’s inspection the following resources were discussed and provided:

· Community Care Licensing Division’s COVID 19 Information and Resources: https://www.cdss.ca.gov/inforesources/community-care-licensing

· CDPH’s Guidance for Child Care Providers and Programs - updated June 29, 2021: www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Child-Care-Guidance.aspx

· Cal-OSHA - revisions are effective starting on January 17, 2022: https://www.dir.ca.gov/dosh/coronavirus/ETS.html

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SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Eileen CorralTELEPHONE: 951-233-7183
LICENSING EVALUATOR SIGNATURE:
DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/17/2022
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: PALO VERDE COMMUNITY COLLEGE CHILD DEV. CENTER
FACILITY NUMBER: 334806906
VISIT DATE: 02/17/2022
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Local Public Health Information
· Riverside County Public Health
Tel: (951) 358-5000
Website: https://www.rivcoph.org/

Local Resource and Referral Agencies
· Riverside County Office of Education (RCOE):
Tel: (800) 442-4927
Website: https://www.rcoe.us/departments/early-learning-services/early-care-and-education

· Child Care Resource Center (CCRC):
Tel: (909) 384-8000
Website: https://www.ccrcca.org/

Acting Director was advised to report Unusual Incidents by fax/scan a completed UIR form (within 24 hours of incident), to the Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov or fax to 951-782-4985, using form LIC624 (Child Care Center). Raquel was informed they may also contact the Duty Officer at 951-782-4200, Monday - Friday 8AM - 5 PM.

· In addition, Provider Information Notices (PINs) and other resources regarding COVID-19 can be found on our website at www.cdss.ca.gov.

No deficiency was cited during this inspection.

An exit interview was conducted with Acting Director, Raquel Burton. LPA provided Raquel with a copy of this report and a Notice of Site Visit.
End of Report.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Eileen CorralTELEPHONE: 951-233-7183
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC809 (FAS) - (06/04)
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