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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364830600
Report Date: 02/18/2022
Date Signed: 02/18/2022 02:20:24 PM


Document Has Been Signed on 02/18/2022 02:20 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:VOLUNTEERS OF AMERICAFACILITY NUMBER:
364830600
ADMINISTRATOR:GREENMAN,CHRISTINAFACILITY TYPE:
850
ADDRESS:304 N. PEPPER AVENUETELEPHONE:
(909) 562-0901
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:190CENSUS: 61DATE:
02/18/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Naveen ArmendarezTIME COMPLETED:
02:30 PM
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Due to COVID-19, On 02/18/2022 Licensing Program Analyst (LPA) Justin Giese conducted a Case Management inspection to provide technical assistance. Facility/Classrooms were temporarily closed due to COVID 19 and has recently reopened on 01/30/2022. LPA met with Director, Naveen Armendarez. A tour of the facility was conducted and a census was taken.

During the inspection, LPA reviewed and discussed COVID-19 guidelines, resources, and postings with Director. COVID-19 information posters including hand-washing posters were observed in child care areas and bathroom. The Director was advised to follow the child care industry guidelines on face coverings, sanitation and other infection prevention measures.


During today’s inspection the following resources were discussed and provided:

· Community Care Licensing Division’s COVID 19 Information and Resources: https://www.cdss.ca.gov/inforesources/community-care-licensing

· CDPH’s Guidance for Child Care Providers and Programs - updated June 29, 2021: www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Child-Care-Guidance.aspx
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:
DATE: 02/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/18/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: VOLUNTEERS OF AMERICA
FACILITY NUMBER: 364830600
VISIT DATE: 02/18/2022
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· Cal-OSHA - revisions are effective starting on January 17, 2022: https://www.dir.ca.gov/dosh/coronavirus/ETS.html

· Local Public Health Information:
· Riverside County Public Health:
Tel: (951) 358-5000
Website: https://www.rivcoph.org/

· San Bernardino County Public Health
Tel: (909) 381-8990
Website: http://wp.sbcounty.gov/dph/

· Local Resource and Referral Agencies:
§ Riverside County Office of Education (RCOE):
Tel: (800) 442-4927
Website: https://www.rcoe.us/departments/early-learning-services/early-care-and-education

§ Child Care Resource Center (CCRC):
Tel: (909) 384-8000
Website: https://www.ccrcca.org/

· To report an Unusual Incident Report (UIR), please fax/scan a completed UIR form (within 24 hours of incident occurring), to the Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov or fax to 951-782-4985.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: VOLUNTEERS OF AMERICA
FACILITY NUMBER: 364830600
VISIT DATE: 02/18/2022
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· FORMS: LIC624 (Child Care Center)

· You may also contact the Duty Officer at 951-782-4200

· In addition, Provider Information Notices (PINs) and other resources regarding COVID-19 can be found on our website at: www.cdss.ca.gov

No deficiency was cited during this inspection.

An exit interview was conducted with Director, Naveen Armendarez . LPA provided Director with a copy of this report and a Notice of Site Visit.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin GieseTELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2022
LIC809 (FAS) - (06/04)
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