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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300368
Report Date: 02/04/2022
Date Signed: 02/04/2022 11:07:54 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KIDS PARADISE DAYCARE LLCFACILITY NUMBER:
376300368
ADMINISTRATOR:GUERRERO ESPINOSA,IRMA JFACILITY TYPE:
840
ADDRESS:1701 N SANTA FE AVETELEPHONE:
(760) 407-6737
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:8CENSUS: 0DATE:
02/04/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:43 AM
MET WITH:Irma Guerrero EspinoTIME COMPLETED:
11:09 AM
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Licensing Program Manager (LPM), Stephanie Hudak and Licensing Program Analysts (LPAs), Joanne Domingo and Cindy Hamilton, arrived at the facility for the purpose of conducting a Case Management visit. LPA conducted COVID-19 Screening prior to entry into the facility by the Licensee, Irma Guerrero. Administrator, Daniel Espinosa provided LPM/LPAs guidance via FaceTime.
The facility has been operating on a COVID-19 Temporary Waiver to care for school age children since 7/15/2021.

LPM, Stephanie Hudak advised Licensee the purpose of the visit was to review facility records and obtain copies of documents that have been pending for the application.

An exit interview was conducted and during the interview, Licensee, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

A copy of this report along with a Notice of Site Visit posted was provided to Licensee on this date and time.

A copy of this report must be made available to the public for 3 years.
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Joanne DomingoTELEPHONE: (951) 233-9356
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2022
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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