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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300440
Report Date: 07/06/2023
Date Signed: 07/06/2023 11:52:41 AM

Document Has Been Signed on 07/06/2023 11:52 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KID'S WORLD PRESCHOOLFACILITY NUMBER:
336300440
ADMINISTRATOR:CARRANZA,MONICAFACILITY TYPE:
850
ADDRESS:29879 SANTIAGO RDTELEPHONE:
(951) 699-9777
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 142TOTAL ENROLLED CHILDREN: 93CENSUS: 72DATE:
07/06/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Monica CarranzaTIME COMPLETED:
12:15 PM
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On 7/6/23 at 11:45 AM, Licensing Program Analyst (LPA) William Chancellor arrived unannounced to conduct a case management visit to amend a deficiency page. On 6-14-23, an annual inspection was conducted and deficiencies were cited, however the deficiency page was not issued during the initial inspection. The deficiency will be cited on todays date 7/6/23.

Please refer to 809-D for cited deficiencies.

An exit interview was conducted, and this report was reviewed with the facility representative, Monica Carranza. Appeal rights were discussed and provided during the exit interview
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2023
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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