<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360908889
Report Date: 01/31/2025
Date Signed: 01/31/2025 03:11:09 PM

Document Has Been Signed on 01/31/2025 03:11 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:FAITH LUTHERAN DAY CARE CENTERFACILITY NUMBER:
360908889
ADMINISTRATOR/
DIRECTOR:		HEATHER URIBEFACILITY TYPE:
830
ADDRESS:12449 CALIFORNIA STREETTELEPHONE:
(909) 790-1816
CITY:YUCAIPASTATE: CAZIP CODE:
92399
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 5DATE:
01/31/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Jennifer Maldonado, Assistant DirectorTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 01/31/2025 at 1:45 PM, Licensing Program Analysts (LPAs) Raymond Moorehead and Tiffanie Diep arrived at the facility in order to conduct a required/annual inspection as part of a compliance review.

Upon arrival, Assistant Director Jennifer Maldonado informed LPAs that the facility would be closing at 3:00 PM today, due to a quarterly staff training. Since the time it would take to complete the required annual visit would go over the closing time, LPAs decided to at least complete the physical plant portion of the inspection. LPA Moorehead informed Assistant Director that he will return to the facility at a later date in order to complete the rest of the annual visit.

During today's visit, LPAs took a census of all children in care, checked staff background clearances, and conducted a tour of the facility classrooms/outdoor play area. No deficiencies were cited during today's visit. A file review and closing of the annual inspection visit will be conducted upon the return of LPA.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA conducted an exit interview with Assistant Director Jennifer Maldonado and provided a copy of this report.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2025
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 1