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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334806633
Report Date: 03/11/2024
Date Signed: 03/11/2024 10:02:01 AM

Document Has Been Signed on 03/11/2024 10:02 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:RCOE-MURRIETA HEAD START STATE PRESCHOOLFACILITY NUMBER:
334806633
ADMINISTRATOR:KENDRA HAWTHORNEFACILITY TYPE:
850
ADDRESS:24980 LAS BRISAS ROADTELEPHONE:
(951) 600-5684
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY: 71TOTAL ENROLLED CHILDREN: 71CENSUS: 35DATE:
03/11/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Cynthia BerumenTIME COMPLETED:
10:15 AM
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On March 11,2024 at 09:20 AM Licensing Program Analyst (LPA) Courtnee Peebles arrived unannounced at RCOE- MURRIETA HEAD START STATE PRESCHOOL (CCC) to conduct a case management visit. On 02/27/2024 CCLD received an unusual incident report stating Child 1 (C1) suffered an injury which resulted in treatment needed by a medical professional. Facility records were reviewed, and Director (D) and one child (C1) were interviewed. Based on information gathered, the facility acted appropriately, and no violations have been identified.

Based on interviews, the facility provided first aid care to C1 and called the parent/authorized representative immediately after the incident. In addition, director reported the incident timely to the Department.
An exit interview was conducted and copy of this report was provided to D, Cynthia Berumen.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2024
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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