<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846373
Report Date: 09/26/2023
Date Signed: 09/26/2023 11:27:07 AM

Document Has Been Signed on 09/26/2023 11:27 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:EASTERSEALS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364846373
ADMINISTRATOR:SHAYLENE JUDSONFACILITY TYPE:
850
ADDRESS:1102 WEST PHILLIPS STREETTELEPHONE:
(714) 834-1111
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY: 122TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/26/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Elizabeth Mulligan, Area Director, Child Development ServicesTIME COMPLETED:
11:35 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to follow up on the initial Prelicensing inspection conducted on 8/24/2023. At the conclusion of that inspection, a list of items that needed completion was provided. During today's inspection, LPA toured the facility and verified that the facility has corrected all items required for licensure.

Upon management completing a final review, the application will be submitted for approval with a maximum capacity of 110 children.

Exit interview conducted and report was reviewed with Elizabeth Mulligan, Area Director, Child Development Services
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1