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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334806287
Report Date: 05/09/2022
Date Signed: 05/09/2022 02:24:21 PM

Document Has Been Signed on 05/09/2022 02:24 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:BOEHM CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334806287
ADMINISTRATOR:KNUDSEN, CATHYFACILITY TYPE:
850
ADDRESS:74-200 COUNTRY CLUB DRIVETELEPHONE:
(760) 346-6829
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY: 66TOTAL ENROLLED CHILDREN: 60CENSUS: 40DATE:
05/09/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Cathy Knudesn-DirectorTIME COMPLETED:
02:45 PM
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On the date and time listed, Licensing Program Analysts (LPAs) Nasha King and James Wilkerson arrived at the facility to conduct a Case Management-Incident follow-up visit on three Unusual Incident Reports (UIRs) received by the Department. The UIRs are dated 01/13/2022, 01/24/2022, and 01/27/2022. LPAs met with Cathy Knudsen (Director) to discuss the incidents. A tour of the facility was granted, and census was conducted. It was reported that staff and children tested positive for COVID-19. Per the Director, the facility was deep-cleaned and sanitized after each positive occurrence. There are no further issues to report at this time.

LPAs have determined that the facility staff took the necessary steps to ensure the health and safety of the children in care by reporting the cases to the Public Health Department and to Community Care Licensing (CCL).

Based on the information gathered, there appears to be no violations of Title 22 Regulations found at this time, and therefore, there were no deficiencies cited during this inspection.

An exit interview was conducted, and a copy of this report was provided to the Director, Cathy Knudsen. A Notice of Site Visit was issued, and the Licensee understands that it must remain posted for 30 days.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Nasha King
LICENSING EVALUATOR SIGNATURE: DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2022
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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