<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334830367
Report Date: 12/03/2024
Date Signed: 12/03/2024 10:30:05 AM

Document Has Been Signed on 12/03/2024 10:30 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:SCHOOL TIME CHILDREN'S LEARNING CENTERFACILITY NUMBER:
334830367
ADMINISTRATOR/
DIRECTOR:		BRIANA CHAVEZFACILITY TYPE:
840
ADDRESS:4655 TEXAS AVENUETELEPHONE:
(951) 785-9001
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY: 17TOTAL ENROLLED CHILDREN: 17CENSUS: 0DATE:
12/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:02 AM
MET WITH:Gayani WedanarachchiTIME VISIT/
INSPECTION COMPLETED:
10:35 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 11/21/2024.

Facility records were reviewed, however children were not present and available for interview. Further information will be needed. Upon completion of the review, the outcome and/or recommendations will be provided to the licensee.

An exit interview was conducted and a copy of this report, notice of site visit, and appeal rights were provided to facility staff, Gayani Wedanarachchi.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Chase Atherton
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1