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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334816894
Report Date: 12/02/2021
Date Signed: 12/02/2021 02:01:56 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: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: 10DATE:
12/02/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Coordinator Trisha Tran and Teacher Liza RicasaTIME COMPLETED:
02:15 PM
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On 12/2/2021, Licensing Program Analysts (LPAs) Samuel Lopez and Karrene Phillips conducted a Case Management inspection in order to verify that the classroom (A03) has sufficient square footage for the capacity on current license. LPAs also toured classroom 25. During today's inspection, LPAs Lopez and Phillips met with Coordinator Trisha Tran and Teacher Liza Ricasa, which provided access to the campus and classroom. The Preschool Program is being from Room 25 to Room A03.

Preschool (Room A03) Indoor Activity Area
LPA has determined that there is sufficient space to accommodate 23 children.

Preschool Bathroom Fixtures
4 Toilets x 15 = 60 children (1 located inside the classroom)
1 Urinal x 15 = 15 children
6 Sinks x 15 = 90 children (2 located inside the classroom)
***Please note: 3 toilets, 1 urinal, and 4 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 the capacity requested.
***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. Preschool capacity is limited to 23 children.

No deficiencies observed/cited during this inspection.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021
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: 12/02/2021
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Prior to authorizing the move from classroom 25 to classroom A03 the following needs to completed:

1. Classroom must be fully set up for instruction
2. Playground structure needs to be cleaned and the cushioning material, underneath the play structure, needs to be repaired or replaced
3. Fire clearance approval - LPAs were notified that the inspection was conducted however, documentation has not been received.

Facility representative agrees to submit pictures upon completion

Exit interview conducted and report was reviewed with the Teacher Liza Ricasa.

A notice of site visit was given and must remain posted for 30 days.

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

DATE: 12/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021
LIC809 (FAS) - (06/04)
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