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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364809370
Report Date: 07/15/2019
Date Signed: 07/15/2019 02:41:10 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:REDLANDS DAY NURSERY - PLUM LANEFACILITY NUMBER:
364809370
ADMINISTRATOR:MILLY LARAFACILITY TYPE:
850
ADDRESS:1643 PLUM LANETELEPHONE:
(909) 792-9717
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY:150CENSUS: 86DATE:
07/15/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Linda Kirwan, Program AdministratorTIME COMPLETED:
02:45 PM
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Licensing Program Analyst Fe Floria arrived at the facility on a case management visit to follow-up on an unusual incident report submitted by the facility on 7/054/19. At the time of visit, LPA toured the facility, took census, reviewed records and met with Program Administrator Linda Kirwan to discuss the reported incident. The incident occurred on 7/3/19 during outdoor play time. LPA was guided to the play structure where the reported incident took place. LPA took a picture of the play structure observed a change of the structure which according to Ms. Linda was reconstructed to improve sight lines than before with the tunnel that can obscure the view .
During this visit interviews were conducted with staff who witnessed the incident as it took place and parent was informed on a timely manner, first aid was provided at the time of the incident, parent came picked child and was brought to Urgent Care. Cut was glued and child came back to school, did not miss any time. The subject child involved in the incident was interviewed by the LPA as well.

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

An exit interview was held with Program Administrator Linda. A Notice of Site visit was issued, along with a copy of this report.

This report shall be public record for three years.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Fe FloriaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2019
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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