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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334830740
Report Date: 07/26/2023
Date Signed: 07/26/2023 10:32:18 AM


Document Has Been Signed on 07/26/2023 10:32 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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:CVUSD - OASIS HEAD STARTFACILITY NUMBER:
334830740
ADMINISTRATOR:MARCELLA ZAMUDIOFACILITY TYPE:
850
ADDRESS:88-175 AVENUE 74TELEPHONE:
(760) 848-1303
CITY:THERMALSTATE: CAZIP CODE:
92274
CAPACITY:40CENSUS: 0DATE:
07/26/2023
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Martha CisnerosTIME COMPLETED:
10:37 AM
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On the date and time listed above, Licensing Program Analysts (LPAs) Jeanette Sanchez and Lorena Valenzuela arrived at the facility for a case management inspection due to a classroom change and capacity decrease from 40 children to 20 children. LPAs met with Martha Cisneros.

Classroom was adequately equipped with age and size appropriate equipment furniture and equipment. Water will be provided via water fountains.

The following measurements were taken and the following was determined:

Indoor activity area measurements:
Classroom 1 (K7): 950.79 square feet
Total students: 27 children

Total children toilets and sinks:
1 toilet and 1 sink = 15 children

Waiver request submitted to allow shared use of playground restrooms, which include 2 toilets and 2 sinks. Currently being used by transitional kindergarten and kindergarten children.

Outdoor activity space accommodates the requested 20 children. A waiver request has been submitted to allow shared use of the outdoor activity space. There is a play structure in the middle of the playground with rubber padding under the equipment. The Department would need confirmation of the appropriate age group allowed on the play structure. Per Ms. Cisneros, there is also a work order request to move the preschool play structure from the previous space to the new space.
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2023
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
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CVUSD - OASIS HEAD START
FACILITY NUMBER: 334830740
VISIT DATE: 07/26/2023
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Before approval of classroom change, the following needs to be corrected/completed:
1. Verification of age group for play structure
2. Picture of repaired padding under play structure
2. Updated restroom waiver request to reflect both playground restrooms
3. Picture of classroom restroom cleared of miscellaneous items
4. Carbon Monoxide detector
5. Fire Clearance
6. Lead Testing - per Ms. Cisneros, pending results, children will be supplied water bottles.

An exit interview was conducted, and this report was reviewed with the facility representative Martha Cisneros. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Deborah MullenTELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
LIC809 (FAS) - (06/04)
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