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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701338
Report Date: 07/06/2023
Date Signed: 07/06/2023 03:03:33 PM

Document Has Been Signed on 07/06/2023 03:03 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CFC LEARNING CENTER, LLCFACILITY NUMBER:
376701338
ADMINISTRATOR:SHONEIL WILSONFACILITY TYPE:
840
ADDRESS:2640-2642 OCEANSIDE BLVD.TELEPHONE:
(760) 721-5437
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 3DATE:
07/06/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Shoneil WilsonTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA), Keely Messerschmidt, made an unannounced Case Management visit on this date to deliver an amended LIC 809D for annual inspection conducted on 05/26/23. LPA met with Shoneil Wilson, who was informed of the reason for the premise visit.


An exit interview was conducted, and a copy of this report was provided to the Licensee.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE: DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/06/2023
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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