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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842877
Report Date: 08/30/2022
Date Signed: 08/30/2022 12:52:47 PM


Document Has Been Signed on 08/30/2022 12:52 PM - 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 ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:YOU'RE INVITED CHILDREN'S CENTERFACILITY NUMBER:
334842877
ADMINISTRATOR:WEST, JAMIFACILITY TYPE:
850
ADDRESS:3985 MADISON STREETTELEPHONE:
(951) 351-1023
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:27CENSUS: 9DATE:
08/30/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Marie Lacoste, Program DirectorTIME COMPLETED:
12:55 PM
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On August 30, 2022, Licensing Program Analyst (LPA) Kay Turner arrived at the facility on a case management visit to follow-up on an unusual incident report submitted by the facility on August 8, 2022. At the time of visit, LPA toured the facility, with specific detail to the location where the incident took place, and the census, and met with Program Director, Marie Lacoste, to discuss the reported incident.

During the visit, LPA also spoke with the Teacher who witnessed the incident as it took place. The subject child involved in the incident was not interviewed by the LPA, as the child was not present. The child is no longer attending on a full time basis due to attending school.

Photographs of the mat were taken. The Program Director noted the table was removed from inside the facility and placed outside. In addition, LPA observed the facility placed foam/soft bumpers on the table to prevent injuries in the future.

Based on the information obtained during the visit, as well as an inspection of the furniture and equipment (photographs on file), there appeared to be no violations of Title 22 Regulations pertaining to the reported incident.

An exit interview was held with Program Director, Marie Lacoste, A Notice of Site visit was issued, along with a copy of this report. The Notice of Site Visit must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Karrene TurnerTELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2022
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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