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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841687
Report Date: 12/06/2024
Date Signed: 12/06/2024 04:03:12 PM

Document Has Been Signed on 12/06/2024 04:03 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:STRONG FOUNDATIONS LEARNING CENTERFACILITY NUMBER:
334841687
ADMINISTRATOR/
DIRECTOR:
TIFFANY MADRIDFACILITY TYPE:
850
ADDRESS:72400 LA CANADA WAYTELEPHONE:
(760) 668-6103
CITY:THOUSAND PALMSSTATE: CAZIP CODE:
92276
CAPACITY: 84TOTAL ENROLLED CHILDREN: 36CENSUS: 14DATE:
12/06/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:10 PM
MET WITH:Tiffany MadridTIME VISIT/
INSPECTION COMPLETED:
04:20 PM
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Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct a case management visit in response to the receipt of an unusual incident report (UIR). The UIR was received by the licensing agency on 12/5/2024. The UIR documented an incident involving a child being tripped by another child, while outside on the playground. This resulted in an injury to the child that was tripped.

Upon arrival this date on 12/6/2024, LPA Lopez met with facility Director/Licensee Tiffany Madrid and stated the purpose of the visit. LPA conducted a tour of the are where the incident occurred, reviewed records, and conducted interviews. The subject child who received the injury was not present at time of visit. However, the following information was obtained: Three children where playing, two were crawling on the floor with hands and feet, and another running right beside them. One of the children that was crawling, reached over and grabbed onto the ankles, of the child that was running, causing the child to trip and fall. This resulted in the child hitting their face, on a pole, attached to the playground fencing. Staff that was supervising the children proceeded to provide first aid and comfort the child that was injured. Since the incident the Licensee/Director has added foam tubing around the poles/posts to prevent similar injuries.

Based on the information gathered, facility complied with reporting requirements, and other regulation requirements. It was also determined that this was an isolated incident.

No violations of Title 22 were identified, at this time.

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 conducted and report was reviewed with the Director/Licensee Tiffany Madrid.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2024
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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