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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364843935
Report Date: 10/24/2022
Date Signed: 10/24/2022 03:42:32 PM

Document Has Been Signed on 10/24/2022 03:42 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:FOOTHILL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364843935
ADMINISTRATOR:COPAS,PAULINEFACILITY TYPE:
830
ADDRESS:791 E. FOOTHILL BLVD UNIT BTELEPHONE:
(909) 985-4448
CITY:UPLANDSTATE: CAZIP CODE:
91786
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 13DATE:
10/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Pauline Copas, DirectorTIME COMPLETED:
03:45 PM
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Licensing Program Analysts (LPAs), Elyse Jones and Blanca Silva arrived at the facility to conduct an annual inspection as part of a compliance review. A tour of the inside & outside of the facility was granted and children's files were reviewed.

The inspection was not completed. LPAs will return on a later date to complete the annual inspection.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2022
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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