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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364840570
Report Date: 01/28/2025
Date Signed: 01/28/2025 02:14:52 PM

Document Has Been Signed on 01/28/2025 02:14 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-BEECH ELEMENTARYFACILITY NUMBER:
364840570
ADMINISTRATOR/
DIRECTOR:		DARCY WHITNEYFACILITY TYPE:
850
ADDRESS:9206 BEECH AVENUETELEPHONE:
(909) 357-7600
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 20DATE:
01/28/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:29 PM
MET WITH:Marisela Perales/Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
02:30 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
LPA Berry conducted a case management-other to interview a child from the facility.



Exit interview conducted with the Site Supervisor, report, appeal rights and notice of site visit issued.


Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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