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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846982
Report Date: 07/31/2026
Date Signed: 07/31/2026 05:00:01 PM

Document Has Been Signed on 07/31/2026 05:00 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:RUSD/LONGFELLOW ELEMENTARYFACILITY NUMBER:
334846982
ADMINISTRATOR/
DIRECTOR:
KOSS, GUADALUPEFACILITY TYPE:
860
ADDRESS:3610 EUCALYPUTS AVETELEPHONE:
(951) 352-8290
CITY:RIVERSIDESTATE: CAZIP CODE:
92507
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
07/31/2026
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Jennifer Camargo Early Childhood Services SpecialistTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On the above noted date and time, Licensing Program Analyst (LPA's), Diana Brasel and Laura Mejorado conducted an announced Pre-Licensing inspection to add an infant and toddler option component to the existing preschool license 334802359, this current license number will be closed as a single license conversion upon completion of the application process. Upon arrival, LPA's met with Facility Representative Jennifer Camargo at the front office and checked in with school site staff. The school site is currently closed for summer. Applicant is requesting to be licensed for (10) infants ages 0-18 months in room 17, (10) toddler option children ages 18-36 months in room 18. The facility is currently licensed for 40 preschool children ages 3-5 in rooms 1 and 2. Hours of operation will be Infant/Toddlers M,T,Th, F 8:30am-3:00pm, W 8:30am-2:15pm and Preschool 8:00am-2:30pm. The infant napping area has 6 cribs and cots for older infants and the toddler option component has cots. LPA's and Jennifer Camargo moved the visit at 3pm to the Riverside Unified Early Childhood main office located at 7675 Magnolia Avenue Riverside, CA 92504, to complete and sign report.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Jennifer Camargo that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities.
Belinda Devall
Diana Brasel
DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/31/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: RUSD/LONGFELLOW ELEMENTARY
FACILITY NUMBER: 334846982
VISIT DATE: 07/31/2026
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When medications are on site, they will be stored in the school sites health office. A fully equipped first aid kit is located in each classroom. There is an operational carbon monoxide detector on site located in each classroom. All required licensing documents were observed posted in the entrance area. Children will be signed in and out at entrance are.

LPA continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured 412.39 for infants, 669.47 for toddler option, which is sufficient to accommodate the requested capacity. Preschool rooms 1 and 2 were previously measured at 2160. and cleared for 40 children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via water fountains with attached filters, children bring their water bottles. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property.

A granted fire clearance dated 10/28/2025 was obtained for preschool rooms 1 and 2.

A granted fire clearance dated 05/22/2026 was obtained for infant and toddler option rooms 17 and 18.

LPA observed a total of (2) sinks and (2) toilets for preschool children in rooms 1 and 2. A total of (1) sinks, (1) toilet in room, (1) changing table with an attached sink in room 18, (1) sink, a changing table with a designated sink in room 17. These are sufficient to accommodate the requested capacity of children. There is a separate staff restroom equipped with a toilet and a sink located in room 17. The isolation area for infant and toddler option children who are ill will be the large diaper area in each room. Preschool children will be sent the Health office.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: RUSD/LONGFELLOW ELEMENTARY
FACILITY NUMBER: 334846982
VISIT DATE: 07/31/2026
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Facility will provide breakfast, lunch, am and pm snack. Meals are delivered from the RUSD cental kitchen for the infants and toddlers directly to rooms 17 and 18. The preschool program meals are delivered from the RUSD central kitchen and if preparation is needed it will be conducted in the school sites kitchen then delivered to classrooms 1 and 2.

The facility currently has a fully fenced playground area for the infant and toddler option components, the fencing is at least four feet high. The total square footage for the infant outdoor activity space is 967.50, which is sufficient to accommodate the requested capacity. The total square footage for the toddler option outdoor activity space is 983.63, which is sufficient to accommodate the requested capacity. The total square footage for the preschool outdoor activity space is 7026.33, which is sufficient to accommodate the requested capacity. There is a climbing structure located on the preschool playground that is age appropriate. There is adequate cushioning in fall zones of climber provided by rubber padded cushioning. Shade is provided via easy ups on all 3 playgrounds. Drinking water will be provided via a drinking fountain and children's water bottles. LPA observed all hazardous items on all 3 playgrounds to be inaccessible to children. Facility representative Jennifer Camargo was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

The preschool children will be sharing the elementary outdoor playground with the TK children using a time schedule. A granted waiver will be needed, see correction.

Feeding tables have broad-based legs and chairs are plastic seats are in good repair. The facility has small feeding chairs with attached trays. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: RUSD/LONGFELLOW ELEMENTARY
FACILITY NUMBER: 334846982
VISIT DATE: 07/31/2026
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Diapering sink is not used for meal preparation or dishwashing. Cribs meet regulatory requirements. Crib area is separated from activity space via solid partition wall with windows. A staff will need to provide direct supervision when a child/children are napping. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. Sleep logs are kept in classrooms. Needs and Services Plans and Sleep Plans are kept in classrooms. There is a toilet for potty training.

Criminal Record Clearance- CCC facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Lead Testing- CCC Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test as specified in Health and Safety Code section 1597.16.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP.).

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: RUSD/LONGFELLOW ELEMENTARY
FACILITY NUMBER: 334846982
VISIT DATE: 07/31/2026
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LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information (https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information) Include the applicable scenario for the CCC, un-bolded, into the report:

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA reviewed with facility representative the LIC 311A, Records to be Maintained at the Facility, for child’s records, personnel records, administrative records, and documents to be posted. Entrance Checklist was provided to the applicant.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed [applicant, licensee, or facility representative] of the importance of checking for and removing recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: RUSD/LONGFELLOW ELEMENTARY
FACILITY NUMBER: 334846982
VISIT DATE: 07/31/2026
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MyChildCarePlan.org- facility representative was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Subscribe to CCLD Important Information- Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters, and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/communitycare-licensing/subscribe and select the Child Care option to receive email communication.

The following corrections are needed prior to the issuance of the license:


1. Proof that the preschool playground shall be fully enclosed with a 4 foot barrier/fence.
2. A granted waiver shall be approved for the preschool children to share the elementary playground labeled playground #3 with the TK elementary children.

Exit interview conducted and report was reviewed with the facility representative.

Facility Representative Jennifer Camargo understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.
NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2026
LIC809 (FAS) - (06/04)
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