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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300003
Report Date: 02/14/2022
Date Signed: 02/14/2022 12:51:28 PM

Document Has Been Signed on 02/14/2022 12:51 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:FIRST SCHOOL-PALM DESERTFACILITY NUMBER:
336300003
ADMINISTRATOR:THERESA BRODYFACILITY TYPE:
850
ADDRESS:73-247 HOVELY LANE WESTTELEPHONE:
(760) 568-1889
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY: 74TOTAL ENROLLED CHILDREN: 58CENSUS: 39DATE:
02/14/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Theresa Brody, DirectorTIME COMPLETED:
12:50 PM
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On the date and time listed, Licensing Program Analysts (LPAs) Nasha King and Sumayya Habeebulla was at the facility for the purpose of initiating a complaint investigation. After concluding the initial 10-day complaint visit, LPAs conducted a Case Management-Deficiencies visit with the Director, Theresa Brody.

Confidential interviews revealed that a staff member and a student in Room 3 tested positive for COVID-19 on February 3, 2022. This information was not reported to the Department. LPAs advised Ms. Brody on California Code of Regulations (CCR) Title 22 Section 101212 (d) Reporting Requirements.

See LIC 9102 TA for advisory issued.

An exit interview was conducted, and appeal rights were discussed. A copy of this report was discussed and provided to the Director, Theresa Brody on this date.

A NOTICE OF SITE VISIT WAS ISSUED AND LPAs VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Nasha King
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2022
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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