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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006515
Report Date: 05/05/2022
Date Signed: 05/05/2022 10:50:25 AM


Document Has Been Signed on 05/05/2022 10:50 AM - 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 STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:CHILDREN'S PARADISE INC. - VALE TERRACEFACILITY NUMBER:
372006515
ADMINISTRATOR:SHADIERA BETHEAFACILITY TYPE:
830
ADDRESS:990 VALE TERRACE DRIVETELEPHONE:
(760) 941-7578
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:32CENSUS: 19DATE:
05/05/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Natalie Swisse, DirectorTIME COMPLETED:
11:00 AM
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On May 5, 2022 at 9:56 am, Licensing Program Analyst (LPA) Cindy Hamilton conducted an unannounced case management inspection at Children’s Paradise to follow-up on an Unusual Incident Report (UIR) submitted by the facility on April 21, 2022. During the inspection, LPA toured the facility, took census, and met with Site Director Natalie Swisse to discuss the reported incident. LPA also interview staff and reviewed pertinent files. The child involved in the incident was not interviewed by the LPA due to child being an infant and unable to verbalize.

Based on the information obtained there appeared to be no violations of Title 22 Regulations therefore no citations were issued.

An exit interview was held with Director Natalie Swisse. A copy of this report was issued, along with a Notice of Site visit. This report shall be public record for three years.
SUPERVISOR'S NAME: Carlos MartinezTELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Cindy HamiltonTELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022
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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