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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846066
Report Date: 06/12/2024
Date Signed: 06/12/2024 11:37:02 AM

Document Has Been Signed on 06/12/2024 11:37 AM - 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:PSD/MILL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364846066
ADMINISTRATOR/
DIRECTOR:		SOARES, CHERYLFACILITY TYPE:
850
ADDRESS:205 SOUTH ALLEN STREETTELEPHONE:
(909) 383-2025
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92408
CAPACITY: 160TOTAL ENROLLED CHILDREN: 160CENSUS: 71DATE:
06/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Cheryl SoaresTIME VISIT/
INSPECTION COMPLETED:
11:40 AM
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On 06/12/2024 Licensing Program Analyst (LPA) Justin Giese made an unannounced visit to the facility to follow-up on the submission of an Unusual Incident Report (UIR). The UIR outlined a alleged incident which occurred on 06/04/2024 pertaining to supervision. LPA met with Administrative Supervisor, Cheryl Soares and discussed the following.

The UIR stated that on 06/04/2024 a pertinent individual had reported to facility management a child in care had inappropriately touched another child in care. No further details regarding the time/location or when the incident occurred we disclosed.

At time of this visit LPA met with Administrative Supervisor (AS), as well as conducted staff interviews and reviewed pertinent documents. LPA's investigation into this matter did not reveal any corroborating statements or fact to support what was alleged in the submitted UIR.

There due to conflicting information recorded during the investigation from what was alleged to have occurred in the UIR, the incident may have happened, or is valid, but there is no preponderance of evidence to prove the alleged incident did or did not occur, therefore the incident is unsubstantiated.

An exit interview was conducted, LPA provided Administrative Supervisor, Cheryl Soares with a copy of this report and a notice of site visit on 06/12/2024.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Justin Giese
LICENSING EVALUATOR SIGNATURE: DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2024
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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