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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700121
Report Date: 02/21/2020
Date Signed: 02/21/2020 11:10:40 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:CHILDREN'S PARADISE-SHADOWRIDGE INFANTFACILITY NUMBER:
376700121
ADMINISTRATOR:BRITTNEY SMITHFACILITY TYPE:
830
ADDRESS:145 NORTH MELROSETELEPHONE:
(760) 724-5600
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:32CENSUS: 20DATE:
02/21/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:47 AM
MET WITH:Christina JenkinsTIME COMPLETED:
11:25 AM
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Licensing Program Analyst, Otsanya Cameron arrived at the facility and met with the director, Christina Jenkins for the purpose of obtaining signatures for an amended report. The original report was delivered on 1/29/2020 in a confidential status, but made public on the amended report.. No verbiage was changed in the body of the report. LPA also obtained the census for the children in the infant program during this visit.

An exit interview was conducted and a copy of this report was given to the Director Christina Jenkins.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020
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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