334810747-6-23-2020-09-CC-SLOZ-BQUTPF-20200623145416

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334810747
Report Date: 06/23/2020
Date Signed: 06/23/2020 02:55:13 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:	WOODCREST MONTESSORI EDUCATION CENTER		FACILITY NUMBER:	334810747
ADMINISTRATOR:	DIANE MARTINEZ		FACILITY TYPE:	850
ADDRESS:	16191 WASHINGTON STREET		TELEPHONE:	(951) 789-9319
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92504
CAPACITY:	66	CENSUS: 20	DATE:	06/23/2020
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Elizabeth Bunker		TIME COMPLETED:	12:15 PM

NARRATIVE

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***Please note: Due to COVID-19, a tele-inspection is being conducted in lieu of an in-person/physical inspection***

Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct a case management visit in response to the receipt of an unusual incident report (UIR). The UIR was received by the Riverside Child Care Regional Office on 6/16/2020. The UIR documented an incident involving a staff, allegedly, grabbing and/or pulling a child by the arm.

Upon contact on 6/23/2020, LPA Lopez spoke with facility Licensee Elizabeth Bunker and stated the purpose of the visit. Facility information was requested and interviews were conducted with Elizabeth and facility staff. The subject child who allegedly received the injury was not present at the facility and therefore not interviewed.

The following information was gathered: After outdoor play time, in the afternoon, the children proceeded to wash their hands and sat down for story time. At that time a child (C1) was observed not paying attention to the story and bothering another child next to them. Staff asked the child (C1), that was bothering the other, to sit next to staff in order to redirect the child (C1) and avoid any further incident. Later in the day, during pick up time, the staff guided the child (C1), by the hand, outside of the facility to be picked up by the parent. Soon after pick up time the child (C1) disclosed, to the parent, that their arm had been pulled/jerked by the staff. The parent then reported the allegation/issue to the facility.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2020

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: WOODCREST MONTESSORI EDUCATION CENTER	FACILITY NUMBER: 334810747
	VISIT DATE: 06/23/2020

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Based on the information gathered today, which is conflicted, there were no violations of Title 22 identified, at this time.

An exit interview was conducted with Licensee Elizabeth Bunker. Also, a Notice of Site Visit, which must be posted for 30 days, along with a copy of this report was provided to Licensee Elizabeth Bunker.

A copy of this report must be made available to the public, at the facility site, for 3 years.

***This report was sent via email on 6/23/2020. The Licensee has agreed to reply or to acknowledge that she has received it, via read receipt. This will serve as the Licensee's signature***

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2020

LIC809 (FAS) - (06/04)

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