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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846374
Report Date: 09/26/2023
Date Signed: 09/26/2023 11:27:35 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:
364846374
ADMINISTRATOR:SHAYLENE JUDSONFACILITY TYPE:
830
ADDRESS:1102 WEST PHILLIPS STREETTELEPHONE:
(714) 834-1111
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY: 32TOTAL 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
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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. Also, LPA Lopez was informed that room S2 will now be used solely for napping of the older infants, therefore not requiring a waiver. During today's inspection, LPA toured the facility and verified that the facility has corrected all items required for licensure.

Rooms S1, S3, and S4 were remeasured and the following was determined:
Infant Indoor Activity Areas
LPA has determined that there is sufficient indoor activity space to accommodate the requested capacity of 32 children.

Upon management completing a final review, the application will be submitted for approval with a maximum capacity of 32 infants.

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)
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