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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334840454
Report Date: 03/09/2022
Date Signed: 03/09/2022 11:29:36 AM

Document Has Been Signed on 03/09/2022 11:29 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:VVUSD EL POTRERO PRESCHOOLFACILITY NUMBER:
334840454
ADMINISTRATOR:ANDREA RODICH-VITECKFACILITY TYPE:
850
ADDRESS:16820 VIA PAMPLONA DRIVETELEPHONE:
(951) 940-8530
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92551
CAPACITY: 390TOTAL ENROLLED CHILDREN: 390CENSUS: 79DATE:
03/09/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Andrea Rodich-Viteck - Director TIME COMPLETED:
11:45 AM
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Due to COVID-19, On 03/09/2022 Licensing Program Analysts (LPAs) Rachel Zeron and Nasha King conducted a Case Management inspection to provide technical assistance. LPAs met with Director, Andrea Rodich-Viteck .A tour of the facility was conducted and a census was taken.

During the inspection, LPA reviewed and discussed COVID-19 guidelines, resources, and postings with Director. COVID-19 information posters including hand-washing posters were observed in child care areas and bathroom. The Director was advised to follow the child care industry guidelines on face coverings, sanitation and other infection prevention measures. LPA has been in contact with the Director in regards to COVID 19 guidelines, facility seems to be following guidelines and have proper precautions in place.

During today’s inspection the following resources were discussed and provided:

· Community Care Licensing Division’s COVID 19 Information and Resources: https://www.cdss.ca.gov/inforesources/community-care-licensing

· CDPH’s Guidance for Child Care Providers and Programs - updated June 29, 2021: www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Child-Care-Guidance.aspx
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: VVUSD EL POTRERO PRESCHOOL
FACILITY NUMBER: 334840454
VISIT DATE: 03/09/2022
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· Cal-OSHA - revisions are effective starting on January 17, 2022: https://www.dir.ca.gov/dosh/coronavirus/ETS.html

· Local Public Health Information:
· Riverside County Public Health:
Tel: (951) 358-5000
Website: https://www.rivcoph.org/

· San Bernardino County Public Health
Tel: (909) 381-8990
Website: http://wp.sbcounty.gov/dph/

· Local Resource and Referral Agencies:
§ Riverside County Office of Education (RCOE):
Tel: (800) 442-4927
Website: https://www.rcoe.us/departments/early-learning-services/early-care-and-education

§ Child Care Resource Center (CCRC):
Tel: (909) 384-8000
Website: https://www.ccrcca.org/

· To report an Unusual Incident Report (UIR), please fax/scan a completed UIR form (within 24 hours of incident occurring), to the Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov or fax to 951-782-4985.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2022
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: VVUSD EL POTRERO PRESCHOOL
FACILITY NUMBER: 334840454
VISIT DATE: 03/09/2022
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· You may also contact the Duty Officer at 951-782-4200

· In addition, Provider Information Notices (PINs) and other resources regarding COVID-19 can be found on our website at: www.cdss.ca.gov

No deficiency was cited during this inspection.

An exit interview was conducted with Director, Andrea Rodich-Vitek . LPA provided Director with a copy of this report and a Notice of Site Visit.
SUPERVISORS NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2022
LIC809 (FAS) - (06/04)
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