334810224-9-11-2019-10-CC-AWIN-BFWU7E-20190911151950

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334810224
Report Date: 09/11/2019
Date Signed: 09/11/2019 03:19:53 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	NUVIEW UNION SCHOOL DISTRICT		FACILITY NUMBER:	334810224
ADMINISTRATOR:	JESENIA GARCIA MACIAS		FACILITY TYPE:	850
ADDRESS:	29670 LAKEVIEW AVENUE		TELEPHONE:	(951) 928-3570
CITY:	NUEVO	STATE: CA	ZIP CODE:	92567
CAPACITY:	140	CENSUS: 61	DATE:	09/11/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Jesenia Garcia Macias		TIME COMPLETED:	03:30 PM

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Licensing Program Analyst (LPA) Alaina Wilburn conducted a case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on September 3, 2019. It indicates the It indicates that Classroom P1 had a leaky toilet. The Teacher immediately reported it to the Director, who reported it to the Maintenance Supervisor. Maintenance discovered a leak under the toilet was detected; therefore, children will not be able to utilize the toilet. Children from P1 were evacuated to a different classroom P6, where the proper ratios and capacity's were/are maintained.

Based on information gathered, the facility acted appropriately and no violations have been identified. During visit, LPA Wilburn observed maintenance just leaving after working on the toilet repairs for the day. Maintenance advised the toilet and leak would be repaired by Monday, September 16, 2019. LPA observed several additional toilets available for usage by children in care. P1 has 12 children enrolled, and during today's visit LPA observed a census of 11.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

An exit interview was conducted and a copy of this report was provided to facility Director Jesenia Garcia Macias.

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019

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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