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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364817393
Report Date: 05/25/2021
Date Signed: 06/17/2021 12:30:40 PM

Document Has Been Signed on 06/17/2021 12:30 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:EASTER SEALS CHILD DEVELOPMENT CENTER-ONTARIOFACILITY NUMBER:
364817393
ADMINISTRATOR:APRYL CABRERAFACILITY TYPE:
850
ADDRESS:2999 S. HAVEN AVETELEPHONE:
(909) 923-3352
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY: 48TOTAL ENROLLED CHILDREN: 0CENSUS: 11DATE:
05/25/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Kasandra Torres - DirectorTIME COMPLETED:
12:30 PM
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Licensing Program Analysts (LPAs),Rachel Zeron and Carlos Martinez, arrived at the facility to follow up on Unusual Incident Report (UIR) that were submitted to Licensing by the facility on 05/14/2021 LPAs met with the , Director, Kassadra Torres to discuss incident.

The Director reported the following; on May 14 2021, Teacher #1 reported to the Director that Child's parent disclosed that child claimed to have been touched inappr by two children in child's class. Child identified the children, but had no further details.

During interviews it was disclosed that Teacher #1 was informed by child's parent that the above incident had occurred. Teacher#1 indicated that it was not witnessed nor was it disclosed by the child that any type of inappropriate touching had occurred. In addition, per interviews conducted with children involved, LPA Zeron determined that there was insufficient evidence to corroborate and/or confirm that the incident occurred as reported.

LPAs determined that the facility took the necessary steps to ensure children safety. Based on the information obtained during the visit, there appears to be no violations of Title 22 Regulations pertaining to the reported incident.
An exit interview was conducted, and a copy of this report was provided.

A copy of this report must be made available to the public, at the facility site, for 3 years.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2021
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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