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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845832
Report Date: 03/30/2021
Date Signed: 03/30/2021 01:36:28 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:WORLD ACADEMYFACILITY NUMBER:
334845832
ADMINISTRATOR:AMBER TAYLORFACILITY TYPE:
840
ADDRESS:16346 VILLAGE MEADOW DRTELEPHONE:
(951) 358-1620
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY:90CENSUS: 0DATE:
03/30/2021
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Michael HigginsTIME COMPLETED:
01:35 PM
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On 03/30/2021 at 1:00pm Licensing Program Analyst (LPA) Justin Giese conducted a Case Management Tele-Inspection via Facetime with Michael Higgins, Licensee, for the purpose of reopening the child care facility due to Covid-19 closure. Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19 pandemic, this inspection was conducted via Tele-inspection using Facetime app.

During the tele-inspection, LPA discussed COVID-19 guidelines, resources, and postings. On this date, LPA reviewed the COVID-19 Self Assessment Guide which was provided to the Licensee prior to today's tele-inspection. LPA's discussed required postings, proper hand washing, physical distancing and cough/sneeze etiquette.

Facility is advised to contact Community Care Licensing, Riverside Regional Office at (951)782-4200 should she have any questions or concerns.

At this time no corrections are necessary for reopening



An exit interview was conducted, LPA provided Licensee with a copy of this report via email. The electronic reply to receipt of this email acknowledges receipt of this report.

A NOTICE OF SITE VISIT WAS EMAILED. LICENSEE WAS INSTRUCTED POSTED IT IN A PROMINENT LOCATION AT THE FACILITY. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED 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: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
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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