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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843024
Report Date: 09/14/2022
Date Signed: 09/14/2022 12:49:47 PM

Document Has Been Signed on 09/14/2022 12:49 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:SUNRISE CHILDREN'S CENTERFACILITY NUMBER:
334843024
ADMINISTRATOR:ANGILA AHMADYARFACILITY TYPE:
850
ADDRESS:1421 RIMPAU AVENUETELEPHONE:
(951) 272-2022
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY: 89TOTAL ENROLLED CHILDREN: 89CENSUS: 33DATE:
09/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Angila Ahmadyar DirectorTIME COMPLETED:
12:52 PM
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Licensing Program Analyst (LPA) Diana Brasel arrived at the facility on the above noted date and time for the sole purpose of delivering an amended complaint report 09-CC-20220715130313 dated 09/02/2022.

The Director and LPA signed the amended report and a copy was provided on this date.

An exit interview was conducted with the director.
Appeal rights and a Notice of site visit was provided on this date.

A copy of this report must be made available to the public upon request for the next 3 years, Failure to comply with posting requirements shall result in an immediate civil penalty of $100.


SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022
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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