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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841081
Report Date: 06/09/2021
Date Signed: 06/09/2021 10:22:10 AM

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:ABUNDANT PRESCHOOL OF LEARNINGFACILITY NUMBER:
364841081
ADMINISTRATOR:DOMINIGUE LUCIENFACILITY TYPE:
850
ADDRESS:10900 CIVIC CENTER DRIVETELEPHONE:
(909) 204-4514
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:128CENSUS: 57DATE:
06/09/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Dominique Lucien/DirectorTIME COMPLETED:
11:00 AM
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On 6/8/21 at 9:05 AM Licensing Program Analyst (LPA) Patricia Berry conducted a case management-incident investigation. LPA met with director and director granted LPA access into the facility. LPA toured facility and took census. LPA observed 57 children at the facility during the visit. On 5/24 director received information from a parent that her child had been hit by a teacher in 2019. Director stated the child stated she was hit on the back and buttocks area. LPA interviewed director, parent and child during the visit.

LPA collected documentation.


There is additional information that is needed. LPA will return at a later date to complete the investigation.

Exit interview conducted with director and report given.

LPA observed director post Notice of Site visit.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2021
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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