334843562-9-5-2019-09-CC-SLOZ-BFQSKU-20190905135716

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334843562
Report Date: 09/05/2019
Date Signed: 09/05/2019 01:57:32 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:	RCOE - CASA BLANCA HEAD START		FACILITY NUMBER:	334843562
ADMINISTRATOR:	URSULA MACIAS		FACILITY TYPE:	850
ADDRESS:	7711 CASA BLANCA STREET		TELEPHONE:	(951) 826-7275
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92504
CAPACITY:	47	CENSUS: 18	DATE:	09/05/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Ursula Macias		TIME COMPLETED:	02:15 PM

NARRATIVE

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Licensing Program Analyst (LPA) Samuel Lopez conducted a Case Management inspection on this date, at the request of the licensee representative. The Licensee has requested to add a Toddler Option component to their existing pre-school license/program.

During the inspection, LPA Lopez toured the facility with the Site Manager Ursula Macias, took a census, and discussed the purpose for the inspection. The proposed Toddler Option room (which is currently licensed as a pre-school room) has age appropriate equipment and supplies for children in a Toddler Option program. The revised LIC 200A (Application for a child care center license) indicates the request for 8 toddlers and 39 preschool children, this will equal the current total capacity of 47. The facility will not be increasing their capacity for the purpose of this program.

Once approved, the classrooms will be assigned as follows:

· Room # 1 – Preschool Children

· Room # 2 – Preschool Children

· Room # 3 – Toddlers only (18 to 36 months)

Updated Parent Handbook, facility sketch, and Personnel report (LIC 500), Needs and Services Plan, and Transition Plan was also submitted.

The toddler classroom has a separate napping area and playground designated for the toddlers only. The equipment observed on the playground was also age appropriate for the toddlers.

An exit interview was conducted and a copy of this report was provided to the Site Manager Ursula Macias.

Also provided, was a Notice of Site Visit, which requires posting at the facility for the next 30 days.

A copy of this report must be made available to the public, upon request, for the next 3 years.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2019

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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