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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841309
Report Date: 12/12/2019
Date Signed: 12/12/2019 02:38:22 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:ALL ABOUT KIDS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334841309
ADMINISTRATOR:GONZALEZ, CARMENFACILITY TYPE:
840
ADDRESS:3640 PACIFIC AVENUETELEPHONE:
(951) 367-0704
CITY:JURUPA VALLEYSTATE: CAZIP CODE:
92509
CAPACITY:22CENSUS: 22DATE:
12/12/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Carmen Gonzalez, DirectorTIME COMPLETED:
02:50 PM
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Licensing Program Analyst's (LPAs), Marlene Wong and Carlos Martinez, arrived to follow up on an Unusual Incident Report that was submitted to Licensing by the facility on 12/06/19. LPA met with the Carmen Gonzalez, Director, for an interview and to discuss incident.

According to UIR, on 12/04/19, Staff was transporting (5) children to school on the school van (Pacific Elementary) when they were rear ended along the way by another vehicle at the Jurupa and Mission Blvd. intersections. Gonzalez stated that she received a call from the driver shortly after the accident and to inform her of what happened and also confirmed that the children were okay and not injured.

Gonzalez indicated that Staff and the other driver exchanged insurance information, however, police were not called because there was no car damage to either vehicle and no one was hurt.


A copy of this report must be made available to the public, at the facility site, for 3 years.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Marlene WongTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019
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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