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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300425
Report Date: 07/20/2022
Date Signed: 07/20/2022 12:26:00 PM

Document Has Been Signed on 07/20/2022 12:26 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:LITTLE BEARS TENDER CAREFACILITY NUMBER:
376300425
ADMINISTRATOR:HADNOT, MARIBELFACILITY TYPE:
830
ADDRESS:1111 HIGHLAND DRIVETELEPHONE:
(760) 805-1073
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY: 13TOTAL ENROLLED CHILDREN: 13CENSUS: 12DATE:
07/20/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:36 AM
MET WITH:Maribel HadnotTIME COMPLETED:
12:35 PM
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On July 20, 2022 at 9:36 am, Licensing Program Analysts (LPA) Jessica Rubio and Ana Noble arrived at the facility to conduct an inspection for an increase in capacity from 13 infants to a requested capacity of 20 infants. LPA's measured the additional indoor infant space (Infant Room #2) as well as additional infant playground area (Playground 1). The additional space provided in Infant Room #2 has partition walls. LPA's advised Director Maribel Hadnot that the partition must always remain in place. Director stated that she would also mark the carpet with tape where the partition is placed.

Measurements were taken and the following was determined:

Indoor Activity Areas - Infant Room #2.
LPAs have determined that there is sufficient space to accommodate 17 infants.

Outdoor Activity Area - Infant Playground #1
LPAs have determined that there is sufficient space to accommodate 11 infants. Waiver has been submitted.

Limiting factor for Infant Program capacity is indoor activity area of 17 infants. The Fire Clearance was granted on 7/12/2022. Infant capacity is limited to 17 infants.

An exit interview was conducted, appeal rights were discussed and a copy of this report was provided to Director Maribel Hadnot. A notice of site visit was also provided and must remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2022
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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