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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360919094
Report Date: 02/07/2023
Date Signed: 02/07/2023 03:19:04 PM


Document Has Been Signed on 02/07/2023 03:19 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
INLAND EMPIRE CHILD, 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: 12DATE:
02/07/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Director Daniela VargaTIME COMPLETED:
03:25 PM
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Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility to discuss and provide a notification letter of Order to Licensee of Immediate Exclusion from All Licensed Facilities for Staff Member, SHAVONNE GLADNEY. The letter states in part, that as the result of an investigation by the California Department of Social Services of an allegation of conduct that is inimical and personal rights against SHAVAONNE GLADNEY. The California Department of Social Services (CDSS) has determined that the continued or future contact with clients or presence of this person in the child day care facility, constitutes a threat to the health, morals, welfare or safety of the clients in care.

The letter states that upon receipt of the notice, SHAVONNE GLADNEY must remove themselves from any contact with clients and not be physically present in any facility. This action is final until you are notified otherwise, in writing by CDSS. An appeal can be made against this decision in writing to Department of Social Services - Community Care Licensing - Attention: Employee Exclusion Hearing - 744 P Street, MS T-9-15-48 Sacramento, CA 95814. The appeal must be received within 15 days of the date of this letter. The letter is dated January 18, 2023.

Facility Director Daniela Varga, stated that SHAVONNE GLADNEY, does not work at the facility. The Director stated they will provide a copy of the Immediate Exclusion notice to the licensee Preschool Services Department (PSD) South Redlands Headstart/State Preschool. LPA confirmed that SHAVONNE GLADNEY was not present during this visit. LPA Susan Brewer, reviewed the Immediate Exclusion Orders with Director Daniela Varga. A copy of the letter was provided to Director Daniela Varga, on this date 02/07/2023, and stated that they understand the Order to Individual for Immediate Exclusion from All Facilities for SHAVONNE GLADNEY.

An exit interview was conducted and a copy of this report was provided to Director Daniela Varga, on this date 02/07/2023. A copy of this report must be made available to the public for three years.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2023
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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