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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334818112
Report Date: 10/12/2023
Date Signed: 10/12/2023 12:12:34 PM

Document Has Been Signed on 10/12/2023 12:12 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
INLAND EMPIRE CHILD, 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: 54DATE:
10/12/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Marlie Segura-Williams, DirectorTIME COMPLETED:
12:20 PM
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Licensing Program Analysts (LPAs) Claudia Caywood, Raymond Moorehead, and Licensing Program Manager Aaron Ross, conducted a Case Management inspection on this date, at the request of the licensee representative. The Licensee has requested to add a Toddler Option component to their existing pre-school license/program.

During the inspection, LPAs Caywood and Moorehead toured the facility with the Site Manager Marlie Segura-Williams, took a census, and discussed the purpose for the inspection. The proposed Toddler Option room (which is currently licensed as a pre-school room) has age appropriate equipment and supplies for children in a Toddler Option program. The revised LIC 200A (Application for a child care center license) indicates the request for 12 toddlers and 41 preschool children, this will equal the current total capacity of 53. The facility will not be increasing their capacity for the purpose of this program.

The toddler option area will be located to the right of the entrance. Measurements were previously taken during today's visit.

Updated Parent Handbook, facility sketch, and Personnel report (LIC 500), and classroom schedule were received.

The equipment observed on the playground was also age appropriate for the toddlers.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: SIERRA PRESCHOOL
FACILITY NUMBER: 334818112
VISIT DATE: 10/12/2023
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Before approval is granted for the Toddler Option Component, the following needs to be corrected/completed:

1. toddler option classroom entrance must be adjusted for children access to toilet area
2. waiver for preschool/toddler children to share the restroom
3. waiver for playground area to be shared by preschool/toddler children
4. Proof of age appropriate furniture and equipment

Once all corrections have been verified, the application request for a Toddler Option Component will be submitted for approval with a maximum capacity of 12 Toddlers and 41 Preschoolers. The Director was advised that all corrections are due within 30 days or the application may be withdrawn.

Exit interview conducted and report was reviewed with the Director, Marlie Segura-Williams


A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Director, Marlie Segura-Williams.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023
LIC809 (FAS) - (06/04)
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