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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841698
Report Date: 11/30/2021
Date Signed: 11/30/2021 12:13:06 PM

Document Has Been Signed on 11/30/2021 12:13 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:STONEBRIDGE CHRISTIAN ACADEMYFACILITY NUMBER:
334841698
ADMINISTRATOR:PASLEY, KATHERINEFACILITY TYPE:
850
ADDRESS:4193 BLUFF STREETTELEPHONE:
(951) 520-1000
CITY:NORCOSTATE: CAZIP CODE:
92860
CAPACITY: 120TOTAL ENROLLED CHILDREN: 70CENSUS: 56DATE:
11/30/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:33 AM
MET WITH:Katherine Pasley-BarrowmanTIME COMPLETED:
12:15 PM
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Licensing Program Analysts (LPAs) Kim Leung and Elyse Jones conducted an annual inspection this date on 11/30/2021. Upon arrival, LPAs met with licensee/director Katherine Pasley-Barrowman who stated that the facility an Unusual Incident Report (UIR) was submitted regarding the operation of the facility. During the inspection, LPAs toured the facility taking census and verifying criminal record clearances. Licensee was advised to renew the license by paying the renewal fee or submitting proof of payment.

The unusual incident report was reviewed and discussed with the licensee. Licensee stated that the facility was closed for a week during the Thanksgiving week and was reopened on 11/29/2021. Safety measures and childcare guidance during the COVID-19 pandemic were reviewed with the licensee during this inspection.

Exit interview conducted and report was reviewed with the licensee Katherine Pasley-Barrowman

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2021
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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