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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360919094
Report Date: 10/16/2019
Date Signed: 10/16/2019 02:51:42 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: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: 47DATE:
10/16/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:37 PM
MET WITH:Daniela VargaTIME COMPLETED:
03:10 PM
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Licensing Program Analysts (LPAs) Taadhimeka Zeigler and James Wilkerson arrived at the facility to conduct a case management visit in response to the receipt of an Unusual Incident Report (UIR). The UIR was received by the licensing agency on 10/11/2019. The UIR documented the installation of new turf around two tree roots.

LPAs met with Site Supervisor, Daniela Varga, and explained the purpose of the visit. The census was obtained. LPAs toured the playground where the turf was installed. Children missed outside play for one day. Normal outside activities have resumed.

Based on the information gathered, it was concluded that there were no violation(s) of Title 22 Regulations, at this time.

No citations were issued.

An exit interview was conducted with Ms.Varga. A Notice of Site Visit, which must be posted for 30 days, along with a copy of this report was provided to Ms. Varga.

A copy of this report must be made available to the public, at the facility site, for 3 years.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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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