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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300376
Report Date: 08/21/2024
Date Signed: 08/21/2024 01:02:12 PM

Document Has Been Signed on 08/21/2024 01:02 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:PARK HILL STATE PRESCHOOLFACILITY NUMBER:
336300376
ADMINISTRATOR/
DIRECTOR:		ZARAGOZA, ELIZABETHFACILITY TYPE:
850
ADDRESS:1157 E COMMONWEALTHTELEPHONE:
(951) 654-1531
CITY:SAN JACINTOSTATE: CAZIP CODE:
92583
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/21/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:50 AM
MET WITH:Elizabeth ZaragozaTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On August 21, 2024 at 12:00 PM, Licensing Program Analysts (LPAs) Cindy Hamilton, Brian Morris and Licensing Program Manager (LPM) Carlos Martinez conducted an unannounced case management inspection, due to the Licensee requesting to replace classroom K-2 with Room #10. LPA Hamilton, LPA Morris and LPM Martinez met with Director Elizabeth Zaragoza and measured Room #10 which is designated as a preschool classroom.

Preschool Indoor Activity Areas

Classroom #10:
29.02 x 29.01 = 841.87
(Encumbered Space = 28.82)
841.87 - 28.82 = 813.05
813.05/35=23
Total capacity for preschool classroom #10 = 23 children

Preschool Bathroom Fixtures
- Boys Restroom = 2 toilets x 15 = 30 children, 2 urinals x 15 = 30, 2 sinks x 15 = 30

- Girls Restroom = 5 toilets x 15 = 75 children, 2 sinks x 15 = 30 children

LPA took a tour of playground which would remain the same as previously licensed.



No deficiencies were cited at the conclusion of the visit.
An exit interview was conducted, and a copy of this report, appeal rights and Notice of Site Visit was reviewed with Director Elizabeth Zaragoza. Director reminded the notice of site visit must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 08/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2024
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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