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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843807
Report Date: 08/28/2024
Date Signed: 08/28/2024 01:23:17 PM

Document Has Been Signed on 08/28/2024 01:23 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:WILD ROOTS HOLISTIC LEARNING CENTERFACILITY NUMBER:
334843807
ADMINISTRATOR/
DIRECTOR:		LIDIA NAJERAFACILITY TYPE:
850
ADDRESS:27655 JEFFERSON AVENUETELEPHONE:
(951) 676-8300
CITY:TEMECULASTATE: CAZIP CODE:
92590
CAPACITY: 76TOTAL ENROLLED CHILDREN: 65CENSUS: 60DATE:
08/28/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Lidia NajeraTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Keely Messerschmidt conducted an unannounced Case Management inspection to follow-up on an Unusual Incident Report (UIR) submitted to Community Care Licensing (CCL) on August 12th, 2024 regarding Child #1 (C1) injuring elbow on the playground. LPA met with and interviewed Director Lidia Najera and toured the facility.

No further information is needed at this time.

An exit interview was conducted, and this report was reviewed with the Director Lidia Najera, and a copy was provided. Appeal rights were discussed and provided during the exit interview.

The Notice of Site Visit from today’s visit must be posted for 30 days.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2024
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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