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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334830367
Report Date: 12/10/2024
Date Signed: 12/10/2024 04:10:22 PM

Document Has Been Signed on 12/10/2024 04:10 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
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: 13DATE:
12/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:50 PM
MET WITH:Gayani WedanarachchiTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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 11/20/24. It indicates an inappropriate action between two children. An initial inspection visit was conducted on 12/03/24.
Facility records were reviewed, and pertinent parties’ interviews were conducted, including staff and subject child. Based on information gathered, the facility acted appropriately, and no violations have been identified. Facility contacted public school representatives and maintained communication with authorized representatives as needed. Facility implemented proactive measures for any cross over situations from public school. Facility completed reporting requirements as required by CCR regulations for Reporting Requirements-(submission of LIC624) to the California Department of Social Services. An exit interview was conducted, and a copy of this report, appeal rights and notice of site visit were provided to facility staff, Gayani Wedanarachchi.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE: DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/10/2024
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