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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844008
Report Date: 03/30/2021
Date Signed: 04/01/2021 09:26:38 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:RUSD/LINCOLN HIGH SCHOOLFACILITY NUMBER:
334844008
ADMINISTRATOR:HECTOR VALDEZFACILITY TYPE:
830
ADDRESS:4341 VICTORIA AVENUETELEPHONE:
(951) 788-7371
CITY:RIVERSIDESTATE: CAZIP CODE:
92507
CAPACITY:20CENSUS: 0DATE:
03/30/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Luz Romero, Early Childhood Services SpecialistTIME COMPLETED:
02:20 PM
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March 30, 2021 Due to COVID-19, Licensing Program Analyst (LPA) Sharleen Robinson conducted a Licensee initiated Case Management Tele-inspection with Luz Romero, Early Childhood Services Specialist. LPA met with Luz Via FaceTime. The facility has been closed since March of 2020. The facility has requested for toddlers to share the school age bathroom, and requested for it to be inspected by licensing.

LPA inspected the proposed shared bathroom located next classroom 7, the bathroom has 3 stalls and three sinks. No hazards observed during the inspection. Per The Early Childhood Services Specialist the bathroom will be locked at all times, a staff member will be assigned to take the child to and from the bathroom.

The Early Childhood Services Specialist has been advised to request a waiver in writing. The bathroom cannot be shared until there is an approved waiver.

An exit interview was conducted via FaceTime, LPA Robinson provided the Early Childhood Services Specialist with a copy of this report and notice of site visit via email, LPA Asked the Early Childhood Services Specialist to acknowledge receipt of the email. An electronic “read receipt” was also attached. The electronic read receipt of the emailed report acknowledges receipt of this report. A copy of this report was emailed to the Early Childhood Services Specialist during this Tele-inspection on March 30, 2021.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 233-7183
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2021
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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