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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334802359
Report Date: 11/08/2024
Date Signed: 11/08/2024 10:52:59 AM

Document Has Been Signed on 11/08/2024 10:52 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:RUSD/LONGFELLOW ELEMENTARY SCHOOLFACILITY NUMBER:
334802359
ADMINISTRATOR/
DIRECTOR:		GERI CASTROFACILITY TYPE:
850
ADDRESS:3610 EUCALYPTUS AVENUETELEPHONE:
(951) 352-8290
CITY:RIVERSIDESTATE: CAZIP CODE:
92507
CAPACITY: 40TOTAL ENROLLED CHILDREN: 34CENSUS: 0DATE:
11/08/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Juana MoralesTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 11/08/2024 at 8:45 AM, Licensing Program Analyst (LPA) Tiffanie Diep met with Teacher (S1) Juana Morales for the purpose of an unannounced case management inspection to follow up on an Unusual Incident Report (UIR) submitted to the Department on 10/31/2024. LPA did not observe any day care children at the facility.

All individuals subject to a criminal record review have obtained a criminal record clearance. S1 was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of five days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA obtained supporting documentation pertinent to the incident and conducted an interview with staff during today's visit. It is determined there is insufficient information available at this time and further information regarding the incident needs to be obtained.

There were no deficiencies cited at this time. An exit interview was conducted and report was reviewed with the teacher, Juana Morales. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2024
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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