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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336426503
Report Date: 01/22/2025
Date Signed: 01/22/2025 09:59:01 AM

Document Has Been Signed on 01/22/2025 09:59 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 ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:PEOPLE'S CARE TRADE WINDSFACILITY NUMBER:
336426503
ADMINISTRATOR/
DIRECTOR:		BAZILE, FLORENCEFACILITY TYPE:
735
ADDRESS:25290 TRADE WINDS DRTELEPHONE:
(951) 928-8444
CITY:MENIFEESTATE: CAZIP CODE:
92585
CAPACITY: 4CENSUS: 4DATE:
01/22/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Florence Bazile, Administrator TIME VISIT/
INSPECTION COMPLETED:
10:05 AM
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On 01/22/25 Licensing Program Analyst (LPA) Javina George made an unannounced case management incident visit. LPA met with Administrator Florence Bazile, where LPA explained the purpose of the visit. On 01/16/25 the department received a Special Injury report, reported an incident which required follow up.

During today's visit LPA gathered pertinent documentation, and conducted interviews. There were no health and safety concerns observed during today's visit.

An exit interview was conducted and a copy of this report was provided to Florence Bazile, Administrator.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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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