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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334807318
Report Date: 03/29/2022
Date Signed: 03/29/2022 03:58:47 PM


Document Has Been Signed on 03/29/2022 03:58 PM - 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:GROWING PLACE, TOO, THEFACILITY NUMBER:
334807318
ADMINISTRATOR:SPERAW, THEODORAFACILITY TYPE:
840
ADDRESS:4259 JURUPA AVENUETELEPHONE:
(951) 686-8134
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY:60CENSUS: 37DATE:
03/29/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Director, Julia MontanaTIME COMPLETED:
04:10 PM
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On the date and time listed above, a case management visit was conducted by Licensing Program Analyst (LPA) Giselle Carbullido to deliver an amended report. During today’s visit, LPA toured the facility and census was taken, with 37 children present. LPA met with Julia Montana, Director to deliver amended report.

Exit interview conducted and a copy of this report and notice of site visit was provided to the Director. A copy of this report must be made available to the public for 3 years.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:
DATE: 03/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2022
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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