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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842393
Report Date: 10/28/2024
Date Signed: 10/28/2024 02:08:56 PM

Document Has Been Signed on 10/28/2024 02:08 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:PHILLIP M STOKOE HEAD STARTFACILITY NUMBER:
334842393
ADMINISTRATOR/
DIRECTOR:		CHRIS CHRESTFACILITY TYPE:
850
ADDRESS:4501 AMBS DRIVETELEPHONE:
(951) 826-4390
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 6DATE:
10/28/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Deo Thomas, School CoordinatorTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 10/28/2024 at 12:00 PM, Licensing Program Analyst (LPA) Claudia Caywood arrived at the facility to conduct a Case Management-Licensee initiated report. Upon arrival, LPA was met by Site Coordinator, Deo Thomas. LPA stated to the licensee the purpose of the visit. LPA took photos and discussed the playground corrections with the site coordinator.

LPA explained to the site coordinator that the proposed playground inspection for the 24–36-month-old children needs corrections prior to it being used by facility children. LPA explained the rubber matting at the playground needs to be fixed to seal the cracks. PVC pipes sticking out of the ground needs to be fixed so that they are not a tripping hazard. The facility lead report needs to indicate that the drinking fountains on the playground are safe to use. Site Coordinator signed the report and a copy was provided to Site Coordinator, Deo Thomas.

An exit interview was conducted, appeal rights discussed, and a copy of this report was provided to the Site Coordinator, Deo Thomas.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2024
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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