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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006517
Report Date: 09/05/2024
Date Signed: 09/05/2024 09:43:43 AM

Document Has Been Signed on 09/05/2024 09:43 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S PARADISE INC. - VALE TERRACEFACILITY NUMBER:
372006517
ADMINISTRATOR/
DIRECTOR:		AMELIA COOKFACILITY TYPE:
850
ADDRESS:990 VALE TERRACE DRIVETELEPHONE:
(760) 941-7578
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 64DATE:
09/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:23 AM
MET WITH:Angelica Mondragon, Assistant DirectorTIME VISIT/
INSPECTION COMPLETED:
09:55 AM
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On 09/05/2024 at approximately 09:30 AM, Licensing Program Analyst (LPA) Jesse Gardner conducted a case management inspection of the facility. LPA met with Assistant Director Angelica Mondragon and conducted a tour of the facility. On today’s date, LPA delivered an amended report that was initially provided to the facility on 08/01/2024.

No violations were observed at the conclusion of the tour; thus, no deficiencies were cited on this date. An exit interview was conducted, and a copy of this report was reviewed with and provided to Assistant Angelica Mondragon, along with copies of the Notice of Site Visit (LIC 9213) and appeal rights. The notice of site visit must remain posted for 30 days.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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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