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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843805
Report Date: 02/12/2020
Date Signed: 02/12/2020 11:14:04 AM

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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ALL ABOARD PRESCHOOLFACILITY NUMBER:
334843805
ADMINISTRATOR:SARAH BROWNFACILITY TYPE:
850
ADDRESS:34570 MONTE VISTA DRIVETELEPHONE:
(951) 674-9381
CITY:WILDOMARSTATE: CAZIP CODE:
92595
CAPACITY:120CENSUS: 93DATE:
02/12/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Leann CoppolaTIME COMPLETED:
11:15 AM
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LPA, Joanne Domingo arrived at the facility on a case management visit to initiate an nvestigation on an unusual incident report submitted by the facility on 2/10/20. LPA Joanne Domingo met with Site Supervisor, Lean Coppola toured the facility and took census. LPA also conducted a staff interview.

Although there is not any specific date of the incident, Director Sarah Whitaker had spoken to LPA Domingo via telephone on 2/04/20 regarding the incident.
LPA Domingo advised Ms. Whitaker to submit the UIR to the Department and to notate the telephone conversation between LPA Domingo and Ms. Whitaker on 2/04/20.

The investigation will be extended in order to obtain additional information.
The facility was advised to re-submit a completed and signed UIR and to include the above missing information.

Exit interview conducted ,A Notice of Site visit was issued, along with a copy of this report. This report shall be public record for three years.

SUPERVISOR'S NAME: Telma SandovalTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Joanne DomingoTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
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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