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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334808610
Report Date: 05/02/2019
Date Signed: 05/02/2019 09:22:24 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:RENU HOPE FOUNDATIONFACILITY NUMBER:
334808610
ADMINISTRATOR:SULTANA AHMADFACILITY TYPE:
850
ADDRESS:1675 N. PERRIS BLVD., #HTELEPHONE:
(951) 657-1395
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY:95CENSUS: 59DATE:
05/02/2019
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
07:55 AM
MET WITH: Acting Site Supervisor Elizabeth GonzalezTIME COMPLETED:
09:30 AM
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May 2, 2019 Licensing Program Analyst (LPA) Sharleen Robinson conducted an unannounced Required Legal Non Compliance Case Management visit. The facility was placed on required visits (until 8/29/2020) during a None Compliance Office Meeting, that took place on August 29, 2018 due to concerns associated with the facility history of repeat violations regarding: Care and Supervision, Reporting Requirements, Fixtures, Furniture, Equipment and Supplies.

LPA met and toured the facility with acting Site Supervisor, Elizabeth Gonzalez. There were 59 Preschool children in care. LPA accompanied by the acting Site Supervisor toured the facility inside and out. The following was observed:

Class #1 had 16 children under the supervision of 2 staff members.
Class #2 had 12 children under the supervision of 2 staff members.
Class #3 had 17 children under the supervision of 3 staff members.
Class #4 had 14 children under the supervision of 3 staff members.

Appropriate Care and Supervision observed during todays visit, per the site supervisor there are no unusual incidents to report at this time. Fixtures, furniture and equipment observed to be in good working order and there were sufficient supplies to accommodate children in care.

No deficiencies cited at this time. An exit interview was conducted, A Notice of Site visit was issued and a copy of this report was provided to acting Site Supervisor Elizabeth Gonzalez.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 782-4954
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019
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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