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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364840425
Report Date: 03/18/2025
Date Signed: 03/18/2025 12:38:54 PM

Document Has Been Signed on 03/18/2025 12:38 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:EASTER SEALS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364840425
ADMINISTRATOR/
DIRECTOR:
JENNY ORTIZFACILITY TYPE:
850
ADDRESS:1801 EAST SIXTH STREETTELEPHONE:
(909) 946-9136
CITY:ONTARIOSTATE: CAZIP CODE:
91764
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 17DATE:
03/18/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Jenny OrtizTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Aman Lama arrived at the facility for a case management inspection in response to the receipt of an Unusual Incident Report (UIR) self reported incident from the facility. The UIR was received by the licensing agency on 03/04/2025. LPA met with Director, Jenny Ortiz. LPA toured the facility, took census and conducted interviews.

The incident involved a child that was holding on to his diaper in the front area and crying. The reason was undetermined and later founded from the child's authorized representative taking the child to the doctors.
Based on the interviews conducted, documents and information received, it has been determined that staff acted immediately to ensure the Health, Safety and Personal rights of the subject child was not in violation of Title 22 Regulations.

No deficiencies are being cited during this inspection.

An exit interview was conducted, and report was reviewed with facility representative, Jenny Ortiz.

A Notice of Site Visit was provided and must remain posted for 30 days.  Failure to comply with posting requirements shall result in an immediate civil penalty of $100. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC, UPON THEIR REQUEST, FOR THREE YEARS
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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