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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360919094
Report Date: 01/27/2020
Date Signed: 01/27/2020 09:15:28 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:PSD/SOUTH REDLANDS HEADSTART/STATE PRESCHOOLFACILITY NUMBER:
360919094
ADMINISTRATOR:DANIELA VARGAFACILITY TYPE:
850
ADDRESS:15 N. CENTER STREETTELEPHONE:
(909) 798-2690
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:68CENSUS: 51DATE:
01/27/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Director Daniela VargaTIME COMPLETED:
09:15 AM
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On 01/27/2020 at 8:40am, Licensing Program Analysts (LPAs) Destinee Hogue and Blanca Ruiz-Silva arrived at the facility to conduct a Case Management inspection to confirm the removal of Esperanza Lopez. An Immediate Action Required letter was mailed to the Preschool Services Department on 01/17/2020, notifying the facility of a criminal record exemption needed for Ms. Lopez. LPAs met with Director Daniela Varga to discuss the removal of Esperanza Lopez.

Director Daniela Varga, understands that the individual above cannot work, reside, or be present at the facility until a criminal record exemption is granted. Pursuant to state law, an exemption may be granted if the Caregiver Background Check Bureau (CBCB) is in receipt of substantial and convincing evidence that the individual is of present good character.

Based upon the evidence obtained during today’s inspection, LPAs have verified that Esperanza Lopez is not present, employed or residing at the facility.

Verification of removal is complete.

No deficiencies were cited during this inspection. A Notice of Site Visit was issued and LPA verified that it was posted in a prominent location at the facility before leaving. The Licensee understands that it must remain posted for the next 30 days. This report must be available for review, upon request, for the next 3 years.

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

DATE: 01/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020
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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