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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843061
Report Date: 05/04/2023
Date Signed: 05/04/2023 01:50:25 PM


Document Has Been Signed on 05/04/2023 01:50 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:FOOTHILL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364843061
ADMINISTRATOR:PAULINE COPASFACILITY TYPE:
840
ADDRESS:791 E. FOOTHILL BLVD. UNIT BTELEPHONE:
(909) 985-4448
CITY:UPLANDSTATE: CAZIP CODE:
91786
CAPACITY:71CENSUS: 0DATE:
05/04/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Ellie Devitta/ADTIME COMPLETED:
02:20 PM
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On 5/4/23 at 11:40 pm, Licensing Program Analyst (LPA) Patricia Berry conducted a case management investigation. LPA was granted access into the facility and met with Ellie Devitta/Assistant director (AD). LPA toured facility and took a census. There were no children present during the visit.

During the course of an investigation, it was revealed the facility was not following court documents. LPA reviewed the court documents. The court order states, “Access to children’s records: Both the custodial and noncustodial parent have the right to access records and information about their minor children (including medical, dental, and school records) and consult with professionals who are providing services to the children”.

LPA spoke to the Director. Director stated the facility does follow all court documents. Director stated she was willing to provide one of the authorized representatives the current the sign-in/out sheets; however, the authorized representative asked for three months of the sign-in/out sheets and she wasn’t willing to provide

Due to the court order, LPA informed the director the authorized representative has a right to review all documents. Director stated she will follow the court orders for all of the authorized representatives.

Exit interview conducted with Ellie Devitta/AD, report, appeal rights and notice of site visit issued.

Notice of Site Visit must be posted for 30 days.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:
DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/04/2023
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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