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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334818112
Report Date: 09/21/2022
Date Signed: 09/21/2022 06:32:24 PM

Document Has Been Signed on 09/21/2022 06:32 PM - 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:SIERRA PRESCHOOLFACILITY NUMBER:
334818112
ADMINISTRATOR:MARLIE SEGURA-WILLIAMSFACILITY TYPE:
850
ADDRESS:11077 WHITFORDTELEPHONE:
(951) 689-9492
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY: 53TOTAL ENROLLED CHILDREN: 53CENSUS: 9DATE:
09/21/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
05:55 PM
MET WITH: Assistant Director, Natalie Knox TIME COMPLETED:
06:45 PM
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On 09/21/22 an unannounced case management inspection was conducted by Licensing Program Analyst (LPA) Blanca Ruiz. LPA met with Assistant Director, Natalie Knox. The center was toured, and a census was taken.
 
The purpose of the inspection was to deliver an amended page LIC 9099C (Page 2), one allegation finding from complaint investigation report has also changed and/or removed from report inspection conducted on 06/15/22.   During today’s inspection, the LPA delivered the amended page and retrieved the original page.

No deficiencies were cited during inspection.

An exit interview was conducted with Ms.  Natalie Knox.  A copy of this report was provided to the licensee on this date and must be made available to the public upon request for the next 3 years.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2022
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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