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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334805395
Report Date: 05/02/2024
Date Signed: 05/02/2024 08:29:38 AM

Document Has Been Signed on 05/02/2024 08:29 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:ARMADA ELEMENTARY HEAD STARTFACILITY NUMBER:
334805395
ADMINISTRATOR/
DIRECTOR:		JENNIFER ADCOCKFACILITY TYPE:
850
ADDRESS:25201 JOHN F KENNEDY DRIVETELEPHONE:
(951) 571-4716
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92551
CAPACITY: 119TOTAL ENROLLED CHILDREN: 119CENSUS: 100DATE:
05/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:05 AM
MET WITH:Misty Kelley, PrincipalTIME VISIT/
INSPECTION COMPLETED:
08:26 AM
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Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit, as LPA was looking for facility #334809653, and was made aware that facility #334809653 isn't in operation until 2:30pm on this date.

LPA conducted an exit interview, and a copy of this report was provided to Principal Misty Kelley.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024
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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