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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334812348
Report Date: 11/30/2023
Date Signed: 11/30/2023 10:25:04 AM

Document Has Been Signed on 11/30/2023 10:25 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:RCOE-PERRIS HEAD START STATE PRESCHOOL EARLY HEADFACILITY NUMBER:
334812348
ADMINISTRATOR:CYNTHIA BERUMENFACILITY TYPE:
830
ADDRESS:148 AVOCADO AVENUETELEPHONE:
(951) 826-7200
CITY:PERRISSTATE: CAZIP CODE:
92571
CAPACITY: 63TOTAL ENROLLED CHILDREN: 60CENSUS: 20DATE:
11/30/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Lori WiedensohlerTIME COMPLETED:
10:30 AM
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On November 30, 2023 at 9:25 am, Licensing Program Analyst (LPA) Jessica Rubio arrived at RCOE - Perris Early Head Start to inspect the newly renovated Room 20. LPA met with Site Manager Lori Wiedensohler and toured the facility and conducted a census. LPA inspected Room 20, which has now been combined with Room 19. The wall between Room 19 and 20 has been removed to combine the classroom activity space. The napping area remains the same with the exception of new walls with glass windows being installed. The classroom has chairs and tables with broad-based legs and trays that lock into place. There is one changing table within arm’s reach of a sink; with padding covered in washable vinyl or plastic that is at least 1” thick with raised sides of at least 3”. All hazardous items are stored inaccessible in a high locked cabinet. The classroom is furnished with age and size appropriate equipment in good condition. The Room is now only identified as Room 20. The room was also included in a Fire inspection conducted on 10/30/2023.
This report was reviewed with and provided to Site Manager Lori Wiedensohler along with a Notice of Site Visit that must be posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2023
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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