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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844743
Report Date: 09/29/2021
Date Signed: 09/29/2021 11:41:20 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:SCHOOL AGE CARE BY YOU'RE INVITED DOWNTOWNFACILITY NUMBER:
334844743
ADMINISTRATOR:JAMI WESTFACILITY TYPE:
840
ADDRESS:4495 MAGNOLIA AVETELEPHONE:
(951) 351-1023
CITY:RIVERSIDESTATE: CAZIP CODE:
92501
CAPACITY:37CENSUS: 0DATE:
09/29/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:07 AM
MET WITH:Director Jami WestTIME COMPLETED:
11:45 AM
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On 09/29/2021 at 11:07am, Licensing Program Analyst (LPA) Destinee Hogue conducted a case management inspection to follow-up on an inspection which was conducted on 08/19/2021 and 09/17/2021. The purpose of today's inspection is to reissue a Temporary Relocation Waiver which was originally approved on 08/19/2021 and rescinded on 09/17/2021, due to the facility not obtaining an approved fire clearance to temporary utilize Rooms 1-5 located at 4495 Magnolia Ave, Riverside, 92501. During this inspection, LPA toured the facility inside and outside, took census, and reviewed the following information with Director Jami West. There were no school-age children were present at the time of LPA's inspection.

Director, Jami West has requested a temporary waiver to utilize alternative rooms at Calvary Presbyterian Church located at 4495 Magnolia Ave, Riverside, 92501, until repairs are completed in licensed Rooms A, B, and C. A fire inspection for temporary rooms 1-5 was conducted on 08/19/2021. On 09/21/2021, the Riverside Regional Office received an approved STD850 Fire Inspection Safety Request indicating Rooms 1-5 are cleared for usage by Riverside City Fire Department.

Temporary relocation waiver is effective on September, 28, 2021 through March 31, 2022. Measurements were previously taken on 08/19/2021.

Preschool Indoor Activity Areas
LPA has determined that there is sufficient space to accommodate 31 school-age children.

Preschool Bathroom Fixtures
Total bathroom fixtures can accommodate 31 school-age children.

Limiting factor for school-age capacity is indoor activity space. School-age capacity in rooms 1-5 is limited to 31 children.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: SCHOOL AGE CARE BY YOU'RE INVITED DOWNTOWN
FACILITY NUMBER: 334844743
VISIT DATE: 09/29/2021
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Temporary Relocation Waiver Conditions:
1. Parent notification shall be given to all parents and/or authorized representatives. Consent forms shall be signed and kept in the children’s files.
2. There will be no commingling of the School Age Program children with the Church Congregation.
3. The children will have sole usage of the two bathrooms located on the first floor.
4. The Site Director or Lead Teacher will conduct daily monitoring to ensure compliance.
5. The school age children shall have visual care and supervision, at all times.
6. The appropriate teacher-child ratio shall be maintained, at all times.
7. The facility will request another waiver prior to this waiver’s expiration date, if needed.
8. The facility shall remain in substantial compliance with Title 22 Regulations.

Failure to comply with the conditions of the waiver, may result in termination of the waiver. Directors agrees to provide the Department with updates regarding the completion and repairs of the licensed school-age Classrooms A, B, and C.

No deficiencies were cited during this inspection.

An exit interview was conducted, and a Notice of Site Visit was provided and must be posted for 30 days.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021
LIC809 (FAS) - (06/04)
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