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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334810701
Report Date: 01/31/2020
Date Signed: 01/31/2020 01:29:27 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:LAKE ELSINORE USD HEAD START JEANNETTE ELLIS CTR.FACILITY NUMBER:
334810701
ADMINISTRATOR:FRIEDA BRANDSFACILITY TYPE:
850
ADDRESS:411 W. HEALD STREETTELEPHONE:
(951) 245-4794
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY:81CENSUS: 0DATE:
01/31/2020
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Claudia LeonTIME COMPLETED:
12:15 PM
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 Licensing Program Analyst (LPA) Joanne Domingo conducted an unannounced Required Legal Non-Compliance Case Management visit regarding the Preschool Program. The facility was placed on required visits during a Non Compliance Conference Meeting, that took place on November, 8, 2019 due to supervision concerns associated during sign in/sign out and transitions.

LPA met with Director, Claudia Leon. There were no Preschool children in care. Every last Friday of the month is a designated non-student day due to teacher training day. The following classroom doors are used for sign in/outs:
Classroom #1 - back door only (facing Heald Street)
Classrooms #2, #4 & #5 - front door only (facing playground)

Director, Claudia Leon stated that the facility has hired a LEUSD employee to specifically supervise both the back gate (alley by the church) and the front gate (playground/parking lot) during dismissal times. The facility does not use the gate in front of Heald Street. The center has not had any issues since the gate monitor has been in place.

NO DEFICIENCIES CITED DURING THIS VISIT.

An exit interview was conducted, A Notice of Site visit was issued and a copy of this report was provided to Director, Claudia Leon, on this date.
SUPERVISOR'S NAME: Telma SandovalTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Joanne DomingoTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
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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