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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815848
Report Date: 10/22/2024
Date Signed: 10/22/2024 02:47:56 PM

Document Has Been Signed on 10/22/2024 02:47 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:KIDZ ROCK CHILDREN'S LEARNING CENTERFACILITY NUMBER:
364815848
ADMINISTRATOR/
DIRECTOR:		CASTRO, STEPHANIEFACILITY TYPE:
850
ADDRESS:2345 S. WATERMAN AVENUETELEPHONE:
(909) 264-2000
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92408
CAPACITY: 99TOTAL ENROLLED CHILDREN: 99CENSUS: 38DATE:
10/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:58 AM
MET WITH:Stephanie CastroTIME VISIT/
INSPECTION COMPLETED:
02:59 PM
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On 10/22/2024 Licensing Program Analyst (LPA) Justin Giese made an unannounced visit to the facility to follow-up on the submission of an Unusual Incident Report (UIR). The UIR outlined a potential incident which occurred on 10/01/2024 pertaining to Personal Rights. LPA met with Facility Director, Stephanie Castro.

LPA toured facility inside/out, took census, reviewed/collected documents and conducted an interviews with Staff and children. Due to insufficient information available currently, further investigation will be necessary. LPA will return to the facility on a later date to conclude the UIR investigation.

An exit interview was conducted, LPA provided Facility Director, Stephanie Castro with a copy of this report and a notice of site visit on 10/22/2024.

Notice of Site Visit must remain posted for the next 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2024
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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