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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334818384
Report Date: 08/05/2022
Date Signed: 08/05/2022 02:58:32 PM


Document Has Been Signed on 08/05/2022 02:58 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:DISCOVERY ISLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334818384
ADMINISTRATOR:ALMANZA, MELISSAFACILITY TYPE:
850
ADDRESS:23785 WASHINGTON AVETELEPHONE:
(951) 304-3033
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:120CENSUS: 56DATE:
08/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Melissa AlmanzaTIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) James Wilkerson arrived at this facility to deliver a report to the facility.

There are no citations issued during this visit.

An exit interview was conducted, appeal rights provided along with a Notice of Site Visit and a copy of this report to Ms. Almanza on this date.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:
DATE: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/05/2022
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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