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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334820583
Report Date: 03/26/2024
Date Signed: 03/26/2024 01:25:29 PM


Document Has Been Signed on 03/26/2024 01:25 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:JURUPA USD SCHOOL READINESS CENTERFACILITY NUMBER:
334820583
ADMINISTRATOR:KATRINA BROOKSFACILITY TYPE:
850
ADDRESS:5960 MUSTANG LANETELEPHONE:
(951) 222-7850
CITY:JURUPA VALLEYSTATE: CAZIP CODE:
92509
CAPACITY:48CENSUS: DATE:
03/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Program Director Katrina BrooksTIME COMPLETED:
01:30 PM
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A case management visit is being conducted in response to the receipt of a unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 01/29/2024. It indicates that on 01/18/2024 a subject staff inappropriately grabbed a child at the preschool during pick up. An initial investigation into the UIR was conducted on 02/07/2024. On today’s date, the following was discussed.

Facility records were reviewed, LPA made observations and conducted interviews with pertinent parties. Based on information gathered, the facility acted appropriately and no violations have been identified at this time. The agency conducted an internal investigation with pertinent parties and self reported the incident to the department.

No citations were issued on today’s date.

No civil penalties were issued on today’s date.

An exit interview was conducted, and a copy of this report was provided to Program Director Katrina Brooks.

A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 03/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/26/2024
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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