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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845704
Report Date: 08/15/2022
Date Signed: 08/15/2022 11:48:00 AM


Document Has Been Signed on 08/15/2022 11:48 AM - 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:JUSD SKY COUNTRY ELEMENTARY PRESCHOOLFACILITY NUMBER:
334845704
ADMINISTRATOR:BROOKS, KATRINAFACILITY TYPE:
850
ADDRESS:5520 LUCRETIA AVENUETELEPHONE:
(951) 222-7850
CITY:JURUPA VALLEYSTATE: CAZIP CODE:
91752
CAPACITY:24CENSUS: 0DATE:
08/15/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:ECE Coordinator - Katrina BrooksTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA), Samuel Lopez arrived at the facility to conduct a Case Management inspection due to the request submitted for an increase in capacity. The facility is requesting to increase the Preschool Program capacity from 24 to 48. A Fire Clearance was granted on 8/11/2022.

The days and hours of operation will be Monday through Friday; 8:00 am to 3:00pm. Program will operate in rooms 26, 27, & 28.

Please note that the inspection needed to be scheduled/announced due to the program not being in session.

LPA Lopez toured the facility and measured the rooms that are assigned to the Preschool Program. Based on the measurements taken, the following was determined:

Preschool Indoor Activity Areas


LPA has determined that there is sufficient space to accommodate 58 children.

Preschool Bathroom Fixtures
4 toilets x 15 = 60 children
5 sinks x 15 = 75 children

Preschool Outdoor Activity Area:
LPA has determined that there is sufficient space to accommodate 196 children.
*Waiver to share playground with Transitional Kindergarten and Kindergarten is pending approval

Limiting factor for preschool capacity is the Fire Clearance granted.
Preschool capacity is limited to 48 children.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2022
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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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: JUSD SKY COUNTRY ELEMENTARY PRESCHOOL
FACILITY NUMBER: 334845704
VISIT DATE: 08/15/2022
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LPA discussed AB 2370 and provided a copy of PIN 21-21-CCP which explains the requirement for lead testing of water. All licensed Child Care Centers operating in buildings constructed before January 1, 2010, shall test their water for lead. Also, for a license issued on or after July 1, 2022, initial testing results shall be received and posted by January 1, 2023.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

- To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

- To access on-line Licensing forms & Regulations for a Child Care Center please visit: www.ccld.ca.gov.

- The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:


1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200

No citations issued on today's inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Prior to submitting the Request for capacity increase from 24 to 48, the following needs to be submitted and/or approved:
1. Waiver for sharing of playground with Kindergarten is pending approval

Exit interview conducted and report was reviewed with the Coordinator Katrina Brooks.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
LIC809 (FAS) - (06/04)
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