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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334816894
Report Date: 02/22/2021
Date Signed: 02/22/2021 11:37:24 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:RUSD/MONROE ELEMENTARYFACILITY NUMBER:
334816894
ADMINISTRATOR:DR. TASCEAIE CHURCHWELLFACILITY TYPE:
850
ADDRESS:8535 GARFIELD AVETELEPHONE:
(951) 352-8241
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:24CENSUS: 0DATE:
02/22/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Luz RomeroTIME COMPLETED:
11:40 AM
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On 2/22/2021, Licensing Program Analyst (LPA) Samuel Lopez conducted a Case Management inspection due to a request for a classroom change. During today's inspection, LPA Lopez met with Luz Romero (Early Childhood Services Specialist), which provided access to the campus and classroom. A request for room change was received on 11/3/2020 and a Fire Clearance was granted on 11/18/2020. The Preschool Program is being moved to Room 3 from Room 25, without a capacity change.

***Please note that at there are no children currently in attendance due to COVID-19 restrictions***

Preschool (Room 3) Indoor Activity Area
LPA has determined that there is sufficient space to accommodate 24 children.

Preschool Bathroom Fixtures
3 Toilets x 15 = 45 children
1 Urinal x 15 = 15 children
3 Sinks x 15 = 45 children (1 inside the classroom and the other 2 in the each restroom)
***Please note: 3 toilets, 1 urinal, and 2 sinks are in the restrooms that are located outside of the classroom. There is a waiver for the Preschool children to share restrooms with the Elementary School children***

Preschool Outdoor Activity Area
LPA has determined that there is sufficient space to accommodate 24 children.
***Please note: There is a pre-existing waiver for the Preschool children to share the playground with the Kindergarten children***

Limiting factor for preschool capacity is the square footage of the classroom and the granted Fire Clearance. Preschool capacity is limited to 24 children.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: RUSD/MONROE ELEMENTARY
FACILITY NUMBER: 334816894
VISIT DATE: 02/22/2021
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A NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED IN A PROMINENT LOCATION AT THE FACILITY FOR THE NEXT 30 DAYS.

No deficiencies observed/cited during this inspection.

A copy of this report was provided to Luz Romero on this date and must be made available to the public upon request for the next 3 years.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021
LIC809 (FAS) - (06/04)
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