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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334811267
Report Date: 06/30/2025
Date Signed: 06/30/2025 11:40:53 AM

Document Has Been Signed on 06/30/2025 11:40 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:LEUSD HEALD ACADEMY CENTER PRESCHOOLFACILITY NUMBER:
334811267
ADMINISTRATOR/
DIRECTOR:		GALARZA, ADRIAFACILITY TYPE:
850
ADDRESS:601 W. HEALD STREETTELEPHONE:
(951) 253-7660
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY: 63TOTAL ENROLLED CHILDREN: 63CENSUS: 0DATE:
06/30/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:21 AM
MET WITH:Shawna Passmore and Sarah YatesTIME VISIT/
INSPECTION COMPLETED:
11:55 AM
NARRATIVE
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On June 30, 2025, at 9:21AM, Licensing Program Analyst’s (LPA’s), Sandra Pulido, William Chancellor and Licensing Program Manager (LPM) Pauline Beschorner. conducted an unannounced Case Management inspection for an increase in capacity. Upon arrival, LPA met with Substitute Supervisor Shawna Passmore and Sarah Yates as they are requesting to be licensed for 80 preschoolers ages 2-5 years old. Upon completion of today’s visit, the facility measures for a total capacity of 80 preschool children ages 2-5 years old in classrooms #52, #53, #55, and #57. Hours of operation will be listed as Monday through Friday 6:30AM- 6PM for rooms 52 and 53; for rooms 55 and 57, hours will be 7:00 AM to 4:00 PM. Present during today’s inspection were 0 children with 2 staff. All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Supervisor Shawna Passmore that staff are required to always maintain direct visual supervision of the children during indoor and outdoor activities.

LPA continued to tour the facility and measured new additional indoor space. Total indoor activity space measured 3229.45 square feet, which is sufficient to accommodate the requested capacity of (80) children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, bookshelves, and other activity supplies for the children. Drinking water is available indoors and outdoors via fill stations and children bring their own individual water bottles. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on June 11, 2025.

LPA observed a total of (9) sinks and (9) toilets available for children’s use. These are sufficient to accommodate the revised capacity request of (80) children.

The facility currently has a fully fenced playground area with chain-link fencing that is at least four feet high. The total square footage for all the outdoor activity space is 10934.45, which is sufficient to accommodate the

NAME OF LICENSING PROGRAM MANAGER: Pauline Beschorner
NAME OF LICENSING PROGRAM ANALYST: Sandra Pulido
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/30/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: LEUSD HEALD ACADEMY CENTER PRESCHOOL
FACILITY NUMBER: 334811267
VISIT DATE: 06/30/2025
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requested capacity. Shade is provided via large trees that sufficiently cover the entire playground and additional wind sails over the tables. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is adequate cushioning in fall zones provided by wood chips. LPA observed all hazardous items on the playground to be inaccessible to children. Supervisor Shawna Passmore was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

No corrections are needed. A license for 80 children will be granted upon a final file review.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and report was reviewed with Shawna Passmore and Sarah Yates.

NAME OF LICENSING PROGRAM MANAGER: Pauline Beschorner
NAME OF LICENSING PROGRAM ANALYST: Sandra Pulido
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2025
LIC809 (FAS) - (06/04)
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