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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600902
Report Date: 11/17/2023
Date Signed: 11/17/2023 11:02:53 AM

Document Has Been Signed on 11/17/2023 11:02 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:FAMILY RECOVERY CENTER - CHILD DEV. CTR. - INFANTFACILITY NUMBER:
376600902
ADMINISTRATOR:MELISSA GREENWAYFACILITY TYPE:
830
ADDRESS:1100 SPORTFISHER DRIVETELEPHONE:
(760) 227-1345
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY: 20TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
11/17/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Fabiola BellingerTIME COMPLETED:
11:10 AM
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On date and time listed above, Licensing Program Analyst (LPA) Keely Messerschmidt arrived at the facility to conduct an unannounced Annual visit. LPA met with Program Manager Fabiola Bellinger and informed her the reason for todays visit.

Program Manager informed LPA that they wanted to have their facility move to Inactive Status due to low enrollment and the Director no longer working for the company. LPA obtained the LIC9211 Inactive Status form during visit.

A Notice of Site Visit was provided and must remain posted for 30 days. An exit interview was conducted, and a copy of this report was provided to the Program Director.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2023
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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