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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364818364
Report Date: 01/18/2022
Date Signed: 02/03/2023 02:05:17 PM

Document Has Been Signed on 02/03/2023 02:05 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:SAN BERNARDINO VALLEY COLLEGE CHILD DEV. CTR.FACILITY NUMBER:
364818364
ADMINISTRATOR:WALLACE JOHNSONFACILITY TYPE:
830
ADDRESS:701 S. MT. VERNON AVENUETELEPHONE:
(909) 384-4440
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92410
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 18DATE:
01/18/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Sandy kargeTIME COMPLETED:
01:15 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 01/18/2022 at 8:14am, Licensing Program Analyst (LPA), Justin Giese, arrived at the facility to conduct a case management inspection regarding the Decision and Order dated 12/30/2021 and made effective 12/30/2021. The Decision and Order is granted and excludes Facility Director, Mark Merjil from all Community Care Licensing Facilities for the remainder of their life.

During this inspection, LPA toured the facility inside and out, conducted census, and discussed the Decision and Order with Interim Director Sandy Karge. Mrs. Karge signature below confirms that she received a copy of the Decision and Order dated December 30, 2021, effective December 30, 2021 and understands that employee, Mark Merjil is excluded from all Community Care Licensing facilities for the remainder of their life.

An exit interview was conducted, and a copy of this report was provided to Interim Director Sandy Karge. A copy of this report must be made available to the public for three years.

LPA issued a Notice of Site Visit and verified that it was posted in a prominent location before leaving the facility.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2022
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