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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334830481
Report Date: 08/26/2024
Date Signed: 08/26/2024 04:30:04 PM

Document Has Been Signed on 08/26/2024 04:30 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:CHILDRENS LIGHTHOUSE OF RIVERSIDE, CAFACILITY NUMBER:
334830481
ADMINISTRATOR/
DIRECTOR:		BONNIE ACOSTAFACILITY TYPE:
850
ADDRESS:19743 LURIN AVENUETELEPHONE:
(951) 653-6688
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY: 128TOTAL ENROLLED CHILDREN: 79CENSUS: 45DATE:
08/26/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:15 PM
MET WITH:Director Bonnie AcostaTIME VISIT/
INSPECTION COMPLETED:
04:40 PM
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On 08/26/2024 Licensing Program (LPA) Susan Brewer, arrived unannounced to conduct a visit for a Plan of Correction. The LPA was greeted and granted entry by the Director Bonnie Acosta. The LPA took a census of 45 children in care. During the visit the LPA reviewed facility records to verify proof of correction for the Type A citation issued 08/01/2024, which also refers to the LIC9224 Acknowledgement of Receipt of Licensing receipts for Type A citations issued during inspections on 02/01/2024 and 06/25/2024.

1.Type A Violation, due 08/01/2024 and extended to 08/21/2024, Health & Safety Code Section ยง1596.8595:
More time was needed for the LPA to verify documentation for the Plan of Corrections, regarding reporting requirements and LIC9224 Acknowledgement of Receipt of Licensing receipts.

No citations issued on today's date.

No civil penalties issued on today's date.

The report was reviewed and copy was provided to the director Bonnie Acosta on today's date.

A notice of site visit was issued and must remain posted for 30 days. LPA observed the notice of site visit was posted prior to exiting the facility.
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Susan Brewer
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2024
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA
FACILITY NUMBER: 334830481
VISIT DATE: 08/26/2024
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NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Susan Brewer
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2024
LIC809 (FAS) - (06/04)
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