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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364801214
Report Date: 12/06/2022
Date Signed: 12/06/2022 02:11:37 PM

Document Has Been Signed on 12/06/2022 02:11 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:PSD/ONTARIO HEAD STARTFACILITY NUMBER:
364801214
ADMINISTRATOR:WILLIAM ALVAREZFACILITY TYPE:
850
ADDRESS:555 W. MAPLE AVENUETELEPHONE:
(909) 984-4117
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY: 224TOTAL ENROLLED CHILDREN: 224CENSUS: 0DATE:
12/06/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Site Supervisor/ William AlvarezTIME COMPLETED:
02:25 PM
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On 12/06/2022, at 2:15 pm, an informal meeting was held at the Riverside Regional Child Care Office. Present in the meeting was Facility Director Jacquelyn Greene, Facility Assistant Director Arlene Molina, Facility Program Manager Julia Chukumerije, Facility Site Supervisor William Alvarez, Licensing Program Manager (LPM) Gilbert Sena, and Licensing Program Analyst (LPA) Patricia Berry.

The Purpose of the meeting is to review and discuss:
Personal Rights
Responsibility for Providing Care and Supervision

Facility's compliance history was reviewed during the meeting. During the meeting, LPM and LPA’s introduced the Child Care Technical Support Program (TSP) stating TSP is a voluntarily program to assist facilities with meeting and maintaining the requirements of operating a licensed childcare facility. Site Supervisor stated they would provide a written request if the facility will voluntarily participate in TSP.

Multiple scheduled additional ongoing training with the Department's Child Care Advocate has been implemented regarding care and supervision and personal rights. Site Supervisor discussed staff meetings topics regarding care and supervision and personal rights. Facility has contracted with WestEd to implement training in January 2023 for children with challenging behavior and inclusion practices.
(Cont on 809C)
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: PSD/ONTARIO HEAD START
FACILITY NUMBER: 364801214
VISIT DATE: 12/06/2022
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Facility staff was advised to visit the Department's website at: https://cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers on a regular basis for licensing updates. Facility staff was advised to review Child Care Provider videos related to “Supervising Children in A Child Care Centers” and "Children’s Personal Rights in Child Care”. Child Care Center Operators video website link was provided during the meeting, https://ccld.childcarevideos.org/child-care-center-operators/

Additionally, LPA’s informed facility staff to provide a copy of this licensing report dated 12/06/22 to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted with Site Supervisor William Alvarez, report, appeal rights, Acknowledgement of Receipt provided to Site Supervisor.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
LIC809 (FAS) - (06/04)
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