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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701337
Report Date: 08/20/2021
Date Signed: 08/20/2021 12:18:24 PM

Document Has Been Signed on 08/20/2021 12:18 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CFC LEARNING CENTER, LLCFACILITY NUMBER:
376701337
ADMINISTRATOR:SHONEIL WILSONFACILITY TYPE:
850
ADDRESS:2640-2642 OCEANSIDE BLVD.TELEPHONE:
(760) 721-5437
CITY:OCEANSIDESTATE: CAZIP CODE:
92054
CAPACITY: 29TOTAL ENROLLED CHILDREN: 0CENSUS: 9DATE:
08/20/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:41 AM
MET WITH:Licensee Shoniel WilsomTIME COMPLETED:
12:35 PM
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Licensing Program Analyst (LPA) Otsanya Cameron arrived at the facility on a case management visit to follow-up on an unusual incident report submitted by the Dept on 8/10/21. LPA toured the facility, took census, and met with Director Shoneil Wilson to discuss the reported incident.

During the visit, LPA reviewed training agenda for staff training held on 8/13/21

No violations of any regulation have been identified pertaining to the incident, however technical assistance regarding reporting requirements was provided during this visit.

An exit interview was conducted and appeal rights were discussed with Director Shoniel Wilson and Notice of Site visit given. LPA observed posting.


An exit interview was held with Director Shoneil Wilson a copy of this report issued.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Otsanya Cameron
LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2021
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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