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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360906598
Report Date: 12/08/2022
Date Signed: 12/08/2022 12:30:12 PM

Document Has Been Signed on 12/08/2022 12:30 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CJUSD/SAN SALVADOR CHILDREN'S CENTERFACILITY NUMBER:
360906598
ADMINISTRATOR:MACK, MELISSAFACILITY TYPE:
850
ADDRESS:471 AGUA MANSA ROADTELEPHONE:
(909) 876-4154
CITY:COLTONSTATE: CAZIP CODE:
92324
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 56DATE:
12/08/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:56 AM
MET WITH:Melissa MackTIME COMPLETED:
12:35 PM
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On this date and time, Licensing Program Analysts (LPAs) Laura Mejorado and Perla Ordones conducted a case management inspection with Director, Melissa Mack. A case management inspection is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. LPA Mejorado conducted an initial visit on 03/25/2022 where records were collected, however; due to the school being closed for spring break no staff or children were present to interview. LPA Mejorado conducted a follow up visit on 09/02/2022, however; the pertinent parties who may have knowledge of the incident were not present.

The UIR documented an incident where a staff member was accused of speaking inappropriately to children in care. The incident was self-reported, and the Colton Joint Unified School District (CJUSD) conducted an internal investigation into the matter. CJUSD internal investigation was completed and there was not enough evidence to prove that the incident occurred. The subject staff member returned to work after the internal investigation was completed.

During today’s inspection LPAs interviewed the subject staff member and a subject child. The subject staff member denied speaking inappropriately to children in care. It was disclosed during interviews that the subject staff member was spoken to about their tone and was moved into another classroom with an assistant. Due to the age range of the child, the interview did not reveal information that could be used to corroborate or neglect the allegation.

Based on the information gathered and compiled during this investigation there was not enough evidence to corroborate the allegation. No citations were issued at this time.

LPAs conducted an exit interview with Site Supervisor Edith Zepeda and provided a copy of this report. A Notice of Site Visit was issued and must remain posted for the next 30 days.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2022
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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