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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334830640
Report Date: 10/01/2019
Date Signed: 10/01/2019 10:51:20 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:KIDD STREET PRESCHOOL OF RIVERSIDEFACILITY NUMBER:
334830640
ADMINISTRATOR:JUANITA (JENNI) GONZALEZFACILITY TYPE:
840
ADDRESS:10250 KIDD STREETTELEPHONE:
(951) 688-4242
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY:47CENSUS: 0DATE:
10/01/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lucia Casillas - Assistant Director TIME COMPLETED:
11:00 AM
NARRATIVE
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Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct a case management visit in response to the receipt of an unusual incident report (UIR). The UIR was received by the licensing agency on 9/20/2019. The UIR documented the discovery of negative statements/reviews posted on a public social media site, regarding the facility's procedures.

Upon arrival this date on 10/1/2019, LPA Lopez met with facility Assistant Director Lucia Casillas and stated the purpose of the visit. Records were reviewed and interviews were conducted. Per the information initially gathered, during this inspection, it appears to be just negative statements/reviews that were posted on a social media site.

Based on the information gathered there were no violations of Title 22 identified, at this time.

An exit interview was conducted with Assistant Director Lucia Casillas and a copy of this report was provided to her as well.

A Notice of Site Visit was given, it was posted, and must stay posted for 30 days

A copy of this report must be made available to the public, upon their request, for 3 years.

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

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
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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