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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842338
Report Date: 06/02/2021
Date Signed: 06/02/2021 04:21:39 PM

Document Has Been Signed on 06/02/2021 04:21 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:CHILDRENS LIGHTHOUSE LEARNING CENTERFACILITY NUMBER:
334842338
ADMINISTRATOR:LINDA SCOTTFACILITY TYPE:
850
ADDRESS:23656 CLINTON KEITH ROADTELEPHONE:
(951) 600-9395
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY: 120TOTAL ENROLLED CHILDREN: 0CENSUS: 48DATE:
06/02/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
04:10 PM
MET WITH: Director Linda ScottTIME COMPLETED:
04:40 PM
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Licensing Program Analyst (LPA) Otsanya Cameron arrived at this facility on 06/2/21 to conduct a case management visit to deliver an amended report from an original report dated 4/23/21. LPA was granted access into the facility by Director Linda Scott. LPA toured the facility and conducted census.

There are no deficiencies cited during this visit.

A Notice of Site Visit was posted on 06/02/21.

A copy of this report must be made available, upon request for three years.
SUPERVISORS NAME: Dawn Parker
LICENSING EVALUATOR NAME: Otsanya Cameron
LICENSING EVALUATOR SIGNATURE: DATE: 06/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2021
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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