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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334809748
Report Date: 11/23/2021
Date Signed: 11/29/2021 10:09:59 PM

Document Has Been Signed on 11/29/2021 10:09 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:RENU HOPE FOUNDATIONFACILITY NUMBER:
334809748
ADMINISTRATOR:KRISTIN GILLESPIEFACILITY TYPE:
830
ADDRESS:802 BEAUMONT AVENUETELEPHONE:
(951) 845-3816
CITY:BEAUMONTSTATE: CAZIP CODE:
92223
CAPACITY: 18TOTAL ENROLLED CHILDREN: 6CENSUS: 0DATE:
11/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Site Director, Kristin GillespieTIME COMPLETED:
04:30 PM
NARRATIVE
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On 11/23/2021, Licensing Program Analyst (LPA) Destinee Hogue and Licensing Program Manager (LPM) Kimberly Williams conducted a required annual inspection as part of a compliance review. This inspection is also in agreement with, and as a result of a Stipulation, Waiver and Order, effective on January 28, 2021, due to concerns associated with the facility history and previous citations issued. There were no preschool children present at the time of this inspection. A tour of the inside and outside of the facility was granted and the following was observed and discussed with Site Director, Kristin Gillespie:

A review of a sampling of the staff records and children records were conducted as part of this evaluation.

During observations made throughout this inspection, the facility is preparing to reopen on December 6, 2021 and was reminded to post the following items: Stipulation, Waiver, and Order; License; Emergency Disaster Plan (LIC610); Earthquake Preparedness Checklist (LIC9148); Parent’s Rights Poster (PUB393); Personal Rights (LIC613A); Child Car Seat Law; Menu.

- All staff members working at the facility have obtained a Criminal Record Clearance or Criminal Record Exemption.
- All staff members working at the facility have a personnel record on file, however CPR and First Aid training is not up to date or Emergency Medical Services Authority (EMSA) or American Heart Association (AHA) certified.
- Poisons, detergents, cleaning compounds and other toxins are locked and stored where inaccessible to children.
- Facility roster reviewed and up to date with current children enrolled at the facility.
- There were no children present at the time of this inspection to determine if adequate Care and Supervision is being provided during outdoor play activities, classroom, and restroom breaks.
- Medications are locked and stored where inaccessible to children.
- Facility is clean, safe, sanitary and in good repair at the time of this inspection.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Destinee Hogue
LICENSING EVALUATOR SIGNATURE: DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/23/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: RENU HOPE FOUNDATION
FACILITY NUMBER: 334809748
VISIT DATE: 11/23/2021
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- Staff training records reviewed. Staff training last conducted on 07/28/2021 and 07/29/2021 regarding Title 22 Regulations. General Health & Safety training was conducted on 11/15/2021.
- LIC309-Administrative Organization and Board Meeting Minutes was previously submitted in February 2021.

- Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

- To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

NEW Safe Sleep Regulations (Effective September 15, 2020):


LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee/Site Director agrees to submit pictures prior to the facility reopening date on December 6, 2021. Pictures shall include: facility indoor activity areas and outdoor activity areas set up prior to reopen date and parent board with required postings and Stipulation, Waiver, and Order shall be posted in a prominent location prior to reopen date.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Exit interview conducted and report was reviewed with Site Director Kristin Gilliespie. SEE LIC809D for cited deficiencies.

Based on the above, the facility was found to be in compliance with Title 22, at this time.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Destinee Hogue
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021
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Document Has Been Signed on 11/29/2021 10:10 PM - It Cannot Be Edited


Created By: Destinee Hogue On 11/23/2021 at 02:39 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RENU HOPE FOUNDATION
FACILITY NUMBER: 334809748

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/23/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on records review, the licensee did not comply with the section cited above in Staff #1 has completed CPR/First Aid, however completed CPR/First Aid is not Emergency Medical Services Authority (EMSA) or American Heart Association certified. Staff #2 CPR/First Aid training expired on 04/2020 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/07/2021
Plan of Correction
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During this inspection, Licensee/Site Director agreed to have Staff #1 and Staff #2 complete EMSA or AHA CPR/First Aid training by 12/07/2021. Completed CPR/First Aid training can be submitted via email or mail by 12/07/2021.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Kimberly Williams
LICENSING EVALUATOR NAME:Destinee Hogue
LICENSING EVALUATOR SIGNATURE:
DATE: 11/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/23/2021


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