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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843306
Report Date: 08/06/2021
Date Signed: 08/06/2021 01:52:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:BONANZA SCHOOL, LLCFACILITY NUMBER:
364843306
ADMINISTRATOR:MELISSA WOJCIKFACILITY TYPE:
830
ADDRESS:14624 BONANZA ROADTELEPHONE:
(760) 241-7800
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: 2DATE:
08/06/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Bobbi DickinsonTIME COMPLETED:
02:06 PM
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On 08/06/21 Licensing Program Analyst (LPA) Justin Dorsey conducted an Inspection at the Bonanza School, LLC. The purpose of the inspection was a Plan of Correction to review the deficiencies cited on 07/29/21. LPA Dorsey met with the Assistnat Director Bobbi Dickinson and toured the facility.

The following was observed:
1.) LPA Dorsey observed the blankets in the infants cribs had been removed. Per Assistant Director the blankets were returned to the parents.
2.) LPA Dorsey reviewed the file for Child #1 and observed it to be complete.

Exit interview conducted a copy of this report, Notice of Site Inspection and Deficiency Clearance Letter was left with the Assistant Director Bobbi Dickinson.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
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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