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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841081
Report Date: 09/26/2024
Date Signed: 09/26/2024 09:34:26 AM

Document Has Been Signed on 09/26/2024 09:34 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:ABUNDANT PRESCHOOL OF LEARNINGFACILITY NUMBER:
364841081
ADMINISTRATOR/
DIRECTOR:		TIFFANY CAREYFACILITY TYPE:
850
ADDRESS:10900 CIVIC CENTER DRIVETELEPHONE:
(909) 204-4514
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY: 152TOTAL ENROLLED CHILDREN: 152CENSUS: 61DATE:
09/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:20 AM
MET WITH:Dominique Pastrana/assistant directorTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On 9/26/24 at 8:20 am, Licensing Program Analyst (LPA) Patricia Berry conducted a case management visit to deliver an amended report from 8/28/24. LPA met with assistant director was granted access into the facility, toured facility and took a census.

On 9/26/24 LPA amended the 8/8/24 report to reflect a change in the violation from "admission agreement" to "personal rights".

Director agreed to provide the amended C and D pages of the report to all children currently enrolled by the next business day, or the next day children are in care, and all newly enrolled children for the next 12 months from the date of citation and must be placed in child’s file for verification.


Exit interview conducted with assistant director, report, appeal rights, and notice of site visit issued.


Notice of site visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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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