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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364830879
Report Date: 06/07/2024
Date Signed: 06/07/2024 12:55:50 PM

Document Has Been Signed on 06/07/2024 12:55 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:FUSD/GATEWAYFACILITY NUMBER:
364830879
ADMINISTRATOR/
DIRECTOR:		DARCY WHITNEYFACILITY TYPE:
850
ADDRESS:9680 CITRUS AVENUETELEPHONE:
(909) 357-5143
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY: 24TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
06/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Liz MirandaTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On this time and date, Licensing Program Analyst (LPA) Aman Lama arrived at the facility to continue a case management-incident report from 05/31/24. LPA was granted access into the facility and met with the facility representative, Liz Miranda.

On 05/20/24, Community Care Licensing (CCLD) received a phone call of a self-reported incident. Unusual Incident Report (UIR) has been received. The incident involves several alleged violations of children's rights. LPA conducted interviews with pertinent parties and reviewed documentation.

Due to insufficient information obtained at this time, further investigation will be needed. LPA will return at a later date to deliver final findings.

Exit interview was conducted with early education support teacher, Liz Miranda and a notice of site visit was issued. The Notice of Site must be posted for 30 consecutive days from this date.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024
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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