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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334818384
Report Date: 06/07/2022
Date Signed: 06/07/2022 10:13:39 AM


Document Has Been Signed on 06/07/2022 10:13 AM - 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:DISCOVERY ISLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334818384
ADMINISTRATOR:KERR, ASHLEYFACILITY TYPE:
850
ADDRESS:23785 WASHINGTON AVETELEPHONE:
(951) 304-3033
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:120CENSUS: 83DATE:
06/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Melissa AlmanzaTIME COMPLETED:
10:20 AM
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Licensing Program Analyst (LPA) James Wilkerson arrived at this facility to deliver a finding on a report dated 05/20/22.

An exit interview was conducted, Notice of Site Visit posted, appeal rights discussed and provided to the facility on this date.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2022
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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