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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334810126
Report Date: 05/07/2019
Date Signed: 05/07/2019 01:44:51 PM

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:DESERT YMCA/AMELIA EARHARDT CHILD CARE CENTERFACILITY NUMBER:
334810126
ADMINISTRATOR:KEITH ROUZANFACILITY TYPE:
840
ADDRESS:45-250 DUNE PALM ROADTELEPHONE:
(760) 771-1811
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY:60CENSUS: 2DATE:
05/07/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Justin Hickey TIME COMPLETED:
02:00 PM
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Licensing Program Analysts (LPAs), Blanca Ruiz-Silva and Timeka Reed conducted a case management inspection per Licensee's request. The facility is requesting to increase the capacity from 30-40 students for existing classrooms P904 (ages 8 thru 13 years of age) and P905 ( ages 4.5 thru 7 years of age). LPAs met with Director, Justin Hickey and toured the facility, took census and review records. Present during the inspection Staff #1, Staff #2 and Staff#3 and two daycare children in care.

New Fire Clearance granted on 05/01/2019 for capacity for 80 children. The days and hours of operation are: Monday, Wednesday, Thursday and Friday, 6:45 a.m.- 8:45 a.m., 2:00p.m.- 6:00p.m. Tuesday 6:45 a.m.- 8:45 a.m., 12:00p.m.- 6:00 p.m for school age children ages. Waiver on file to share outside play area with Elementary school.

Before increase of capacity is submitted for approval, the following needs to be corrected/completed:
1. Waiver is required to share bathrooms with the elementary school located in building 500.

Once all corrections have been verified, the application for a increase of capacity will be submitted for approval with a maximum capacity of 80 children. Licensee was advised that all corrections are due within 30 days or the application may be withdrawn.

An exit interview was conducted and a copy of this report was reviewed with Mr. Justin Hickey

SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-SilvaTELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:

DATE: 05/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2019
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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