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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843572
Report Date: 08/22/2024
Date Signed: 08/22/2024 03:04:04 PM

Document Has Been Signed on 08/22/2024 03:04 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:ORTEGA TRAIL YOUTH CENTERS, INCFACILITY NUMBER:
334843572
ADMINISTRATOR/
DIRECTOR:		KATHY EVERHARTFACILITY TYPE:
840
ADDRESS:23151 PALOMAR STREETTELEPHONE:
(951) 678-5240
CITY:WILDOMARSTATE: CAZIP CODE:
92595
CAPACITY: 30TOTAL ENROLLED CHILDREN: 32CENSUS: 23DATE:
08/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:57 PM
MET WITH:Margie GarciaTIME VISIT/
INSPECTION COMPLETED:
02:55 PM
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On August 22, 2024, at 2:45 PM, Licensing Program Analysts (LPAs) Cindy Hamilton and Brian Morris made an unannounced Case Management visit at Ortega Trails Youth Centers (CCC) to deliver an amended report for complaint visit conducted on 06/03/2024. LPA met with Director, the CCC was toured, census taken and no health and safety issues were observed. LPA advised Director the reason for the visit was to correct errors in the report pertaining to the incorrect date in the report.

An exit interview was conducted, a copy of this report, appeal rights and a Notice of Site Visit were provided to assistant . Facility was reminded that the notice must remain posted for 30 consecutive days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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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