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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364801214
Report Date: 09/29/2022
Date Signed: 09/29/2022 03:35:37 PM

Document Has Been Signed on 09/29/2022 03:35 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:PSD/ONTARIO HEAD STARTFACILITY NUMBER:
364801214
ADMINISTRATOR:CHERIE HUDSONFACILITY TYPE:
850
ADDRESS:555 W. MAPLE AVENUETELEPHONE:
(909) 984-4117
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY: 224TOTAL ENROLLED CHILDREN: 224CENSUS: DATE:
09/29/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Wiiliam Alvarez - Site SupervisorTIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Rachel Zeron made an unannounced case management visit to conclude the investigations initiated by unusual incident report received by the Riverside Regional Child Care Office. LPA met with William Alvarez and explained the reason for the visit. The dates of the incident reports investigated by LPA Zeron were 06/23/22, 07/12/22 and 07/21/22, all incidents were pertaining to personal rights of children in care. During the course of the investigation, interviews conducted with pertinent individuals concluded with conflicting information obtained. Therefore, the incidents that occurred on 06/23,07/12 and 07/21/2022 are unsubstantiated at this time. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed UNSUBSTANTIATED at this time.

No deficiencies were cited. An exit interview was conducted, and a copy of this report and a Notice of Site Visit (required to be posted for the next 30 days) was provided to the Director William Alvarez on 09/29/2022. LPA verified the Notice of Site Visit was posted in a prominent location before leaving the facility.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2022
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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