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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334815379
Report Date: 06/13/2022
Date Signed: 06/13/2022 02:31:11 PM


Document Has Been Signed on 06/13/2022 02:31 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:BOEHM CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334815379
ADMINISTRATOR:KNUDSEN, CATHYFACILITY TYPE:
830
ADDRESS:74-200 COUNTRY CLUB DRIVETELEPHONE:
(760) 346-6829
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:12CENSUS: 7DATE:
06/13/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Laura Martino- Assistant DirectorTIME COMPLETED:
02:45 PM
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On the date and time listed, Licensing Program Analyst (LPA) Nasha King arrived at the facility to conduct a Case Management-Incident follow-up visit on an Unusual Incident Report (UIR) received by the Department on 05/09/2022. LPA met with Laura Martino (Assistant Director) to discuss the incident. A tour of the facility was granted, and census was conducted.

Per the report submitted to Community Care Licensing, an officer from the Riverside County Sheriff’s Department visited the site to speak with the Director in order to investigate bruises on child #1 (C1). The investigation is currently ongoing and has not been concluded at this time. The investigating officer filed a report with Child Protective Services (CPS) and advised Ms. Knudsen that there was a possibility that a CPS Representative would be visiting the site to obtain additional information.

Upon speaking with Ms. Martino today, LPA was informed that the investigation does not involve the facility or facility staff and based on the information gathered, there appears to be no violations of Title 22 Regulations found at this time. There were no deficiencies cited during this inspection.

An exit interview was conducted, and this report was reviewed with the Assistant Director. Appeal rights were discussed and provided during the exit interview.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Nasha KingTELEPHONE: (951) 204-2046
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2022
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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