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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841174
Report Date: 09/07/2021
Date Signed: 09/07/2021 01:54:27 PM

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:WE KARE DAY CAREFACILITY NUMBER:
334841174
ADMINISTRATOR:ETHERIDGE, CELESTEFACILITY TYPE:
850
ADDRESS:6476 STREETER AVENUETELEPHONE:
(951) 637-7303
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:46CENSUS: 25DATE:
09/07/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:28 PM
MET WITH:Izabella MoralesTIME COMPLETED:
02:00 PM
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On 9/7/2021 at 1:00 PM, Licensing Program Analyst (LPA) Andrea Taylor conducted an inspection visit with Director, Izabella Morales.

A case management inspection is being conducted in response to the receipt of a self reported unusual
incident report (UIR) from the facility. The UIR was received by the licensing agency on 5/24/21.
The incident occurred on 5/24/21.

LPA discussed the incident with the director. LPA will continue to investigate the incident. LPA will make a return visit to inform the Director of the outcome.

No deficiencies were cited today.


An exit interview was conducted.
The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days.
Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent
to the door.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Andrea TaylorTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021
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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