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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841081
Report Date: 02/20/2025
Date Signed: 02/20/2025 02:37:36 PM

Document Has Been Signed on 02/20/2025 02:37 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
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: 105DATE:
02/20/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Dominic Pastrana/assistant directorTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 2/20/25 at 12:15 pm, Licensing Program Analyst (LPA) Patricia Berry conducted a case management visit in regard to an Unusual Incident Report (UIR) received by the RO on 2/15/25. It was reported a child a child cut another child's finger while engaging in a cutting activity. LPA met with assistant director, was granted access into the facility. LPA toured facility and took a census.

Facility staff were interviewed. Further information will be needed. Upon completion of the review, the outcome and/or recommendations will be provided to the facility.

An exit interview was conducted with assistant director, and a copy of this report, appeal rights and notice of site visit was provided to facility staff.

Notice of Site Visit must be posted for 30 days.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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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