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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360911516
Report Date: 12/04/2024
Date Signed: 12/04/2024 10:19:41 AM

Document Has Been Signed on 12/04/2024 10:19 AM - 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:PSD/CHINO HEAD STARTFACILITY NUMBER:
360911516
ADMINISTRATOR/
DIRECTOR:		MONICA PARGAFACILITY TYPE:
850
ADDRESS:5585 RIVERSIDE DRIVETELEPHONE:
(909) 627-0206
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY: 110TOTAL ENROLLED CHILDREN: 69CENSUS: 42DATE:
12/04/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:19 AM
MET WITH:Director Monica PargaTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On the date and time listed, Licensing Program Analysts (LPAs) Perla Ordones and Eric Ramos arrived at the facility for the purposes of amending a report dated for 08/27/2024. LPAs explained the purpose of the visit and conducted a facility tour to take census.

LPAs observed 42 day-care children present at the facility. There were no violations of Title 22 Regulations found during this visit.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director Monica Parga.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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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