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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334830481
Report Date: 08/07/2024
Date Signed: 08/07/2024 03:44:32 PM

Document Has Been Signed on 08/07/2024 03:44 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: 96CENSUS: 68DATE:
08/07/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:33 PM
MET WITH:Director Bonnie Acosta.TIME VISIT/
INSPECTION COMPLETED:
03:50 PM
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On 08/07/2024 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 68 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.

Still Pending: Health and Safety Code Section §1596.8595 reports to be provided to parents or guardian of each child receiving services, (c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as set forth in paragraph (1) of subdivision (a) of Section 1596.893b. LIC9224 Receipts due for the following reported inspection dates: 08/01/2024 Type A Citation - §1596.8595 Health and Safety Code Section, due 08/02/2024; 06/25/2024 Type A Citation - 101223(a)(2) Personal Rights, due 06/26/2024; 02/01/2024 Type A Citation - 101229(a)(1) Responsibility for Providing Care & Supervision, due 02/02/2024.

The director provided documentation to show the agency is actively working to obtain the signed LIC9224 Acknowledgement of Receipt of Licensing receipts, for reports dated 02/01/2024, 06/25/2024 and 08/01/2024. The director requested more time to obtain the receipts for children enrolled at the facility. The director agrees to submit proof of the LIC9224 receipts on or before 08/21/2024, to the department by fax, mail or e-mail.

No citations or 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 the LPA verified the posting prior to leaving.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
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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