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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841175
Report Date: 06/06/2019
Date Signed: 06/06/2019 03:41:18 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:
334841175
ADMINISTRATOR:ETHERIDGE, CELESTE/RICARDOFACILITY TYPE:
840
ADDRESS:6476 STREETER AVENUETELEPHONE:
(951) 637-7303
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:14CENSUS: 12DATE:
06/06/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Celeste EtheridgeTIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Nelson Zuniga received additional information while conducting a complaint investigation. The following is learned: Center failed to comply with parent agreement as contracted. On two occasions children were not picked up from their elementary school and brought to center as agreed between parent and center to do.
See LIC 809D for deficiency cited.
An exit interview was conducted.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019
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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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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: WE KARE DAY CARE
FACILITY NUMBER: 334841175
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2019
Section Cited
CCR
101219(a)(f)
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Admission Agreements: (a) The licensee and the child's authorized representative shall jointly complete a current individual written admission agreement for the child. This documentation shall be maintained at the child care center and shall be available for review. (f) The licensee shall comply with all terms and conditions set forth in
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Licensee will conduct training with all staff and provide proof to the Department by no later than 06/7/2019.
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 the admission agreement. This requirement was not met as evidence by: On two occasions children were not picked up from school as agreed between parent and center to do. Center failed on their parent agreement to do what the center was contracted to do. This pose a health and safety concern for the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019
LIC809 (FAS) - (06/04)
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