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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845630
Report Date: 08/18/2023
Date Signed: 08/18/2023 11:11:02 AM

Document Has Been Signed on 08/18/2023 11:11 AM - 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:MARIPOSA PARENT CHILD WORKSHOPFACILITY NUMBER:
334845630
ADMINISTRATOR:JOANNA BOLES WHITLOWFACILITY TYPE:
840
ADDRESS:47192 MONROE STTELEPHONE:
(760) 342-7400
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
08/18/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Maria LaraTIME COMPLETED:
11:25 AM
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Licensing Program Analyst (LPA) Ana Noble arrived at the facility for the purpose of verifying Plan of corrections needed for the new School Age Classroom and Playground. Upon arrival LPA met with Maria Lara, Director. Lara granted access to the facility, took census and a tour of the new school age classroom and playground. LPA took measurements of the playground and took pictures of both the playground and new classroom (School Age will no longer be in the same building as the Preschool Program). LPA observed no school age children during this inspection.

The following items have all been corrected and verified during this inspection:

1. Shade structure on the Playground (Currently in place is a Easy Up). Director was informed that the Easy Up must be in place at all time during days and hours of operation of the School Age Program.
2. New classrooms and outdoor equipment must be available. Classroom was set up with age appropriate activities (smaller classroom will be used for the young school age kindergarten age group). Outdoor equipment should be sufficient to accommodate 30 children and be age appropriate for older school age children.
3. Lock the Sprinkler Riser Room. Room was locked and should remain locked during days and hours of operation.
4. Make the kitchen and office off limits. A gate has been placed to prevent access to this area. Due to the age group school age-this gate may need to be reassessed at a later time.
5. Obtain and install Carbon Monoxide in both classroom. Carbon Monoxide were tested by the Director and are operable at this time.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MARIPOSA PARENT CHILD WORKSHOP
FACILITY NUMBER: 334845630
VISIT DATE: 08/18/2023
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6. Replace all light bulbs that are not operable at this time. All light bulbs have been replaced and are operable at this time.
7. Cover all electrical outlets in both classrooms. All electrical outlets in both classrooms have been covered.

No deficiency sited during this inspection. LPA also cleared the deficiency from the Annual Inspection conducted on 8/4/2023.

The change in capacity will be submitted for approval to the new capacity of 30 children in the New Classrooms located behind the preschool building.

LPA consult with Lara and encouraged to maintain the facility in the current condition to prevent future citations.

An exit interview was conducted with Maria Lara, Notice of Site Visit posted and a copy of this report was provided to the Lara during this inspection.



A copy of this report must be kept for 3 years and available to the public, upon request.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023
LIC809 (FAS) - (06/04)
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