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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334813497
Report Date: 03/10/2022
Date Signed: 03/10/2022 01:43:44 PM


Document Has Been Signed on 03/10/2022 01:43 PM - It Cannot Be Edited

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:CORNERSTONE CHRISTIAN PRESCHOOLFACILITY NUMBER:
334813497
ADMINISTRATOR:MARIE MARKHAMFACILITY TYPE:
850
ADDRESS:40333 ACACIA AVENUETELEPHONE:
(951) 929-5007
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:108CENSUS: 52DATE:
03/10/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maire Markham, DirectorTIME COMPLETED:
01:55 PM
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On the date and time listed, Licensing Program Analyst (LPA) Nasha King made an unannounced Case Management visit, which included interviewing children and delivering an amended LIC 9099 in regards to Complaint Control Number 10-CC-20211207101004. The original report was delivered on 02/25/2022. LPA met with the Director, Marie Markham, and informed Mrs. Markham of the purpose for the visit. LPA toured the facility and conducted census.

There are no deficiencies being cited at this time.


An exit interview was conducted, and a Notice of Site visit was issued, along with a copy of this report and the amended complaint report was provided to the Director.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Nasha KingTELEPHONE: (951) 204-2046
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2022
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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