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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334840299
Report Date: 07/24/2023
Date Signed: 07/24/2023 02:14:30 PM

Document Has Been Signed on 07/24/2023 02:14 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:EMAGINE U AT PLAYFACILITY NUMBER:
334840299
ADMINISTRATOR:BEATRICE METELLUSFACILITY TYPE:
850
ADDRESS:14420 ELSWORTH STREET #106TELEPHONE:
(951) 656-3490
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY: 29TOTAL ENROLLED CHILDREN: 29CENSUS: 22DATE:
07/24/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:57 PM
MET WITH:Licensee, Crystal EdwardsTIME COMPLETED:
02:23 PM
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On the date and time listed above, Licensing Program Analyst (LPA) Linda Almaraz arrived the center for a case management - plan of corrections inspection. LPA met with the Licensee and explained the reason for todays visit.

LPA verified that the playground steps were repaired. The licensee put a red seal on all the edges where the rubber was coming off. LPA advised the licensee to check the floor periodically to ensure it does not lift or become more uneven which could be a tripping hazard. Citation issued on 6/13/23 was cleared during this visit and a "Letter of Deficiency Citation Cleared" was provided.

An exit interview was conducted. A copy of this report along with appeals were provided.

A notice of site was provided and shall remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Linda M Almaraz
LICENSING EVALUATOR SIGNATURE: DATE: 07/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/24/2023
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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