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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845976
Report Date: 04/28/2022
Date Signed: 04/28/2022 01:42:00 PM

Document Has Been Signed on 04/28/2022 01:42 PM - 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:LITTLE EXPLORERS PRESCHOOL ACADEMYFACILITY NUMBER:
334845976
ADMINISTRATOR:SOMARATNE,JEEVAKAFACILITY TYPE:
850
ADDRESS:10493 MAGNOLIA AVETELEPHONE:
(951) 359-5437
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 6DATE:
04/28/2022
TYPE OF VISIT:CollateralUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Rosa Guzman, Office ManagerTIME COMPLETED:
01:50 PM
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On 04/28/2022, Licensing Program Analyst (LPA) Kay Phillips arrived to conduct an interview visit with another child regarding another facility. LPA toured the facility and a census was taken. LPA met with the child enrolled not pertaining to the facility.

LPA did not observe any violations of Title 22 during this visit.

Exit interview was conducted with Rosa Guzman, Officer Manager. A copy of this report and Notice of Site Visit were provided. The Notice of Site Visit must be posted for 30 days. A copy of this report must be made available to the public for three years upon request.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2022
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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