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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843934
Report Date: 03/06/2025
Date Signed: 03/06/2025 01:50:56 PM

Document Has Been Signed on 03/06/2025 01:50 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:GOOD SHEPHERD CHRISTIAN PRESCHOOLFACILITY NUMBER:
364843934
ADMINISTRATOR/
DIRECTOR:		JUDY PAKFACILITY TYPE:
850
ADDRESS:2600 GRAND AVENUETELEPHONE:
(909) 591-6501
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY: 90TOTAL ENROLLED CHILDREN: 82CENSUS: 73DATE:
03/06/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:31 AM
MET WITH:Yahaira Martinez, Interim DirectorTIME VISIT/
INSPECTION COMPLETED:
01:59 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Elyse Jones and Eric Ramos arrived at the facility, met with Yahaira Martinez, Interim Director, toured the facility, and took census. Upon arrival the LPAs were informed the Director on file no longer works at the facility and the facility is currently in the process of hiring a permanent Director.

Title 22 states, "The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s)."

See LIC809D for cited deficiencies of the California Code of Regulations, Title 22, Div. 12

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted and a copy of this report and a copy of appeal rights was provided to facility staff, Yahaira Martinez, Interim Director.
Aaron RossTELEPHONE: (951) 320-2023
Elyse JonesTELEPHONE: (951) 897-2468
DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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Document Has Been Signed on 03/06/2025 01:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: GOOD SHEPHERD CHRISTIAN PRESCHOOL
FACILITY NUMBER: 364843934

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2025
Section Cited
CCR
101212(b)

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(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).
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Interim Director has been covering since has February 4, 2025. S7 understands a change in Director must be reported to the Department within 10 days. S7 also understands a Interim Director can only hold that position for 30 days consecutively. S7 will forward the report to
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Based on the interview and record review, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. Upon arrival the LPAs were greeted by S7 who stated the Director on file no longer works at the facility. The current
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the Licensee. Licensee will submit a Directors Packet and a plan to ensure the facility is in compliance on or by POC due date of 3-13-2025.



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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Aaron RossTELEPHONE: (951) 320-2023
Elyse JonesTELEPHONE: (951) 897-2468

DATE: 03/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2025

LIC809 (FAS) - (06/04)
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