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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845155
Report Date: 03/09/2023
Date Signed: 03/09/2023 05:01:00 PM

Document Has Been Signed on 03/09/2023 05:01 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:TRUTH PRESCHOOL ACADEMYFACILITY NUMBER:
364845155
ADMINISTRATOR:KARINA TAYLORFACILITY TYPE:
850
ADDRESS:602 N. VIRGINIA AVENUETELEPHONE:
(909) 986-1873
CITY:ONTARIOSTATE: CAZIP CODE:
91764
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 27DATE:
03/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Kristy RowellTIME COMPLETED:
05:15 PM
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On 03/09/2023, Licensing Program Analyst (LPA) Aman Sharma arrived at the facility to conduct a case management inspection in response to the receipt of an unusual incident report (UIR). The UIR was received by the Riverside Child Care Regional Office on 02/17/2023. The UIR explains a child obtained unexplained marks located on the abdomen area right above the diaper line.

Based on the information obtained during this inspection, there appears to be no violations of Title 22 Regulations at this time.

No deficiencies were cited during this inspection and a copy of this report was provided to Administrator, Kristy Rowell. Administrator understands a copy of this report shall be kept on record for three years and provided to the public upon request.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2023
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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