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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360911466
Report Date: 11/09/2023
Date Signed: 11/09/2023 12:26:49 PM

Document Has Been Signed on 11/09/2023 12:26 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:RIALTO U.S.D. DUNN ELEMENTARY SCHOOLFACILITY NUMBER:
360911466
ADMINISTRATOR:GOOD, KARENFACILITY TYPE:
850
ADDRESS:830 N. LILAC AVENUETELEPHONE:
(909) 820-7871
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY: 46TOTAL ENROLLED CHILDREN: 46CENSUS: 9DATE:
11/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:27 AM
MET WITH:Barbara Cervantez, Lead TeacherTIME COMPLETED:
12:35 PM
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On this date and time, Licensing Program Analyst (LPA) Laura Mejorado arrived at the facility to conduct a case management visit in response to the receipt of an unusual incident report (UIR). The UIR was received by the Riverside Child Care Regional office. The UIR documented an incident alleging a personal rights violation.

Upon arrival, LPA met with Lead Teacher, Barbara Cervantez, and stated the purpose of the visit. Records were reviewed and interviews were conducted.

On 10/24/23 an authorized representative informed staff their child had made an allegation that on 10/17/23 a staff member hit/tapped them on the mouth. Staff interviews disclosed 10/17/23 was the child's first day and denied the allegation that the child was hit and/or tapped on the mouth. Staff do not hit or hurt children in any way and will only guide children by the hand when they need assistance. The facility self reporter the incident and conducted interviews. Subject child is currently not attending due to pending a school transfer per authorized representative request.

Based on the information gathered and compiled during this visit no citations were issued, at this time.

Exit interview conducted and report was reviewed with Lead Teacher, Barbara Cervantez.

A notice of site visit was given and must remain posted for 30 days.

A copy of this report must be made available to the public, at the facility site, for 3 years.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2023
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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