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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334814120
Report Date: 12/11/2019
Date Signed: 12/11/2019 11:55:22 AM

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:RCOE-BEAUMONT HEAD STARTFACILITY NUMBER:
334814120
ADMINISTRATOR:NATILEE CARTERFACILITY TYPE:
850
ADDRESS:1141 BEAUMONT AVENUETELEPHONE:
(951) 260-8291
CITY:BEAUMONTSTATE: CAZIP CODE:
92223
CAPACITY:48CENSUS: 34DATE:
12/11/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Site Supervisor, Arturo Jimenez TIME COMPLETED:
12:00 PM
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On 12/11/2019 at 10:40am, Licensing Program Analyst (LPA) Destinee Hogue arrived at the facility to conduct a case management inspection in response to the receipt of an unusual incident report (UIR). The UIR was received by the Riverside Child Care Regional Office on 12/03/2019 via fax.

It was reported that on 11/29/2019 at approximately 3:30pm, a small electrical fire occurred in Classroom #2. The facility was closed on 11/29/2019 for Thanksgiving break. Local Fire Department was dispatched and attended to the fire. Parents were notified of classroom closure via email, text message and phone call. Classroom #2 was closed from 12/02/2019 through 12/06/2019, and reopened on Monday, 12/09/2019. Pictures of Classroom #2 were taken during this inspection and placed in facility file located at the Riverside Child Care Regional Office.

During this inspection, Classroom #2 was inspected and observed to be in compliance with Title 22, Division 12, Chapter 1, Article 07 Physical Environment regulations at this time.

No deficiencies were cited during this inspection and a copy of this report was provided to Site Supervisor Arturo Jimenez. Site Supervisor understands a copy of this report shall be kept on record for three years and provided to the public upon request.

Site Supervisor Arturo Jimenez file was reviewed during this inspection and is in compliance with Title 22 Regulations.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
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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