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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334810747
Report Date: 11/12/2020
Date Signed: 11/12/2020 04:30:25 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 CENTERFACILITY NUMBER:
334810747
ADMINISTRATOR:DIANE MARTINEZFACILITY TYPE:
850
ADDRESS:16191 WASHINGTON STREETTELEPHONE:
(951) 789-9319
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:66CENSUS: 12DATE:
11/12/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Alma EscalanteTIME COMPLETED:
04:30 PM
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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 contacted the facility, via Face Time, 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 11/2/2020. The UIR documented an incident involving a child expressing verbal and aggressive behavior towards another child.

Upon contact on 11/12/2020, LPA Lopez spoke with Alma Escalante and stated the purpose of the visit. Facility information was requested and an interview with Alma was conducted. The subject child was not present at the facility and therefore not interviewed.

Based on observations made and the information gathered today there were no violations of Title 22 identified, at this time.

An exit interview was conducted with Alma. Also, a Notice of Site Visit, which must be posted for 30 days, along with a copy of this report was sent via email to Alma Escalante and 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 11/12/2020. Alma has agreed to reply or to acknowledge that she has received it, via read receipt. This will serve as Alma's signature***

SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2020
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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