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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364820123
Report Date: 01/23/2023
Date Signed: 01/23/2023 12:58:30 PM


Document Has Been Signed on 01/23/2023 12:58 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:GATEWAY ACADEMYFACILITY NUMBER:
364820123
ADMINISTRATOR:NICOLE GARCIAFACILITY TYPE:
840
ADDRESS:12818 E. END AVENUETELEPHONE:
(909) 465-6111
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY:26CENSUS: 4DATE:
01/23/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH: Stella EhinlaiyeTIME COMPLETED:
01:15 PM
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Licensing Program analyst (LPA) Rachel Zeron made an unannounced visit to the facility. Upon arrival, LPA met with Stella Ehinlaiye. toured the facility and took census. LPA explained the purpose of the visit was to clear Plan of Corrections from visit conducted on 11/14/2022.

LPA was able to clear deficiencies and provide information and consultation on the remaining documents and training needed to complete Stella's director's packet. Stella will complete Health and Safety on February 21-23, Component will be completed today and ECE administration class within the next two weeks.

No deficiencies cited on today's visit.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Exit interview conducted and report was reviewed with the facility representative, Stella Ehinlaiye.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951)320-2023
LICENSING EVALUATOR NAME: Rachel ZeronTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 01/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/23/2023
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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