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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841658
Report Date: 12/11/2024
Date Signed: 12/11/2024 01:09:03 PM

Document Has Been Signed on 12/11/2024 01:09 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CORONA DEL REY CHILD DEVELOPMENTFACILITY NUMBER:
334841658
ADMINISTRATOR/
DIRECTOR:		CAZESSUS, MARINAFACILITY TYPE:
850
ADDRESS:1148 D STREET #BTELEPHONE:
(951) 817-9500
CITY:CORONASTATE: CAZIP CODE:
92882
CAPACITY: 54TOTAL ENROLLED CHILDREN: 54CENSUS: 28DATE:
12/11/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:37 PM
MET WITH:Maria de Lourdes Medellin, Asst. SupervisorTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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A case management visit was conducted on 12/11/2024 at 12:37 PM in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 10/1/24. It was reported that on 9/25/2024 a staff member allegedly violated a child’s personal rights.

LPA was unable to conduct children interviews due to children napping at the time of visit. Interviews will need to be conducted on another day and conclude the report on the same day.

An exit interview was conducted, appeal rights discussed, and report was reviewed with the Assistant Supervisor, Maria de Lourdes Medellin.

A Notice of Site Visit was issued and is to be posted in a prominent location at the facility for the next 30 days.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2024
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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