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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364801214
Report Date: 03/08/2021
Date Signed: 03/08/2021 02:10:08 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/ONTARIO HEAD STARTFACILITY NUMBER:
364801214
ADMINISTRATOR:CHERIE HUDSONFACILITY TYPE:
850
ADDRESS:555 W. MAPLE AVENUETELEPHONE:
(909) 984-4117
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:208CENSUS: 0DATE:
03/08/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:44 PM
MET WITH:Cherie HudsonTIME COMPLETED:
02:05 PM
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On date and time listed, Licensing Program Analyst (LPA) Nelson Zuniga conducted a tele-investigation with center director, Cherie Hudson, due to COVID-19 and Department Public Health guidelines of social distancing.

Facility was closed due to COVID-19 Pandemic and this investigation was extended. Facility is now providing class work through distance learning, no children are physically in care.

The UIR indicated that there was an alleged possible personal rights children violation and or lack of supervision. .

LPA Zuniga requested facility records and interviews were held.


Based on the information obtained during the interviews, there appeared to be no violation of Title 22 Regulations pertaining to the reported incident.


A copy of this report is being emailed to center director A read receipt from the email sent to center director will be in lieu of the signature for this tele-investigation.

An exit interview was conducted.
Notice of Site Visit issued.
A copy of this report must be made available to the public for 3 years.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2021
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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