<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364840509
Report Date: 06/15/2020
Date Signed: 06/15/2020 03:32:17 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:EASTER SEALS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364840509
ADMINISTRATOR:SUSAN HERNANDEZFACILITY TYPE:
830
ADDRESS:1801 E. 6TH STREETTELEPHONE:
(909) 946-9136
CITY:ONTARIOSTATE: CAZIP CODE:
91764
CAPACITY:30CENSUS: 0DATE:
06/15/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Edmund Flores, Site DirectorTIME COMPLETED:
02:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
 On 06/15/20 at 2pm, Licensing Program Analyst (LPA) Giselle Carbullido conducted a Case Management Tele-Inspection per the facilities request for capacity decrease (30 children to 22 children) due to re-purposing of Classroom #1. Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19 pandemic, this inspection was conducted via Tele-inspection through the Duo App.

LPA met with Edmund Flores, Site Director. LPA toured the infant program, inside and outside. Days and hours of operation are Monday - Friday; 7:30am -3:30pm. A fire clearance was granted for the use of Classroom #1 on 08/02/2010.

LPA observed Classroom #1 is equipped with age appropriate furniture: 8 cribs total, the equipment is in good condition, and is in substantial compliance.

Classroom #1 is now re-purposed as a napping room and is limited to a capacity of 13 infants per the fire clearance dated 8/2/2010. Previous measurements taken for classrooms 2 and 3 reflect the facility has adequate space to accommodate the requested capacity for 22 children. Infant Program capacity is now for 22 children effective 6/15/2020.

LPA spoke with Mr. Flores regarding new director packet/documents to be completed and submitted to the Department within 30 days.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: EASTER SEALS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 364840509
VISIT DATE: 06/15/2020
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
An exit interview was conducted, and LPA Carbullido provided Mr. Flores, Site Director with a copy of this report via email with an electronic “read receipt”. The electronic read receipt or email confirmation of the emailed report acknowledges receipt of this report. A copy of this report was emailed to Mr. Flores during this Tele-inspection on June 15, 2020. This report must be made available upon request, to the public, for 3 years.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2