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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300022
Report Date: 08/05/2021
Date Signed: 08/05/2021 09:44:41 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:LITTLE LAMB'S PRESCHOOLFACILITY NUMBER:
336300022
ADMINISTRATOR:JENNIFER JACKSONFACILITY TYPE:
850
ADDRESS:21901 RAILROAD CANYON RDTELEPHONE:
(951) 471-3807
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92532
CAPACITY:30CENSUS: 0DATE:
08/05/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Jennifer JacksonTIME COMPLETED:
09:45 AM
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Licensing Program Analysts (LPAs), Joanne Domingo & Nasha King conducted a follow up Case Management Plan of Correction (POC) Inspection to verify the following corrections have been completed. The initial visit was conducted on 7/23/21. A capacity increase was requested on 6/18/21 from 30 children to 79 children and a fire clearance was approved and granted on 7/14/21. There were no children present during this visit.

1. Waiver for Classroom #5 (located in the Sanctuary) to use women's bathroom.
Per LPM, Kimberly Williams, a bathroom waiver for the classroom located in the Sanctuary is not needed as it is the only classroom and bathrooms located in the sanctuary and will not be used by any other persons.
2. Partition walls for Classroom #4 (located in the Fellowship Hall),
Partition walls have been placed in the Fellowship Hall to separate the classroom
3. Two Door Alarms for Classroom #4's Exit Doors.
Three contact door alarms were installed for the main entrance and two doors located in Classroom #4.
4. Rocks to be filled in the 4-tiered fountain and water level to be lowered.
River rocks were added to all four tiers and water level was reduced so as to not rise above the rocks.
5. Staff #4 to submit current Mandated Reporter Certificate. Staff #4's Mandated Reporter Certificate was received on 7/23/21.

The application for Capacity Increase will be submitted for approval with a maximum capacity of 79 children.

An exit interview was conducted, a Notice of Site Visit was posted, along with a copy of this report were provided to Licensee, Jennifer Jackson.

This report must be available for review, upon request, for the next 3 years.
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Joanne DomingoTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021
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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