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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700600
Report Date: 11/16/2023
Date Signed: 11/16/2023 10:33:39 AM


Document Has Been Signed on 11/16/2023 10:33 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:EES-DAVID & JILLIAN GILMOUR EARLY EDUCATIONFACILITY NUMBER:
376700600
ADMINISTRATOR:DELILAH RODRIGUEZFACILITY TYPE:
850
ADDRESS:735 AVENIDA DE BENITO JUAREZTELEPHONE:
(760) 639-4170
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:102CENSUS: 50DATE:
11/16/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Delilah RodriguezTIME COMPLETED:
10:00 AM
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On November 16, 8AM, Licensing Program Analyst (LPA) William Chancellor and Licensing Program Manager (LPM) Pauline Beschorner arrived to EES David and Jillian Gilmour Early Education (CCC) and was greeted and granted access to facility by Acting Site Director (AD) Delilah Rodriguez. A case management visit is being conducted in response to the receipt of an Unusual Incident Report (UIR) received by Community Care Licensing (CCL) on 10/20/23. Program Manager (PM) Courtney Gay self-reported the incident and called the duty line on 10/19/23 to notify CCL of an incident where a child complained of being pinched by a teacher.

The UIR was reviewed and confidential interviews were conducted with AD. Documents relevant to the incident were also collected. Parents were appropriately notified and the staff in question is no longer with the CCC.

Based on information gathered, the facility acted appropriately, and there are no deficiencies at this time.

An exit interview was conducted, and a copy of this report was provided to facility staff, along with a Notice of Site Visit that must remain posted for 30 consecutive days.

SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: William M Chancellor Jr.TELEPHONE: 951-218-3214
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2023
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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