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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841689
Report Date: 01/31/2023
Date Signed: 01/31/2023 02:22:06 PM

Document Has Been Signed on 01/31/2023 02:22 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:STRONG FOUNDATIONS LEARNING CENTERFACILITY NUMBER:
334841689
ADMINISTRATOR:TIFFANY MADRIDFACILITY TYPE:
830
ADDRESS:72400 LA CANADA WAYTELEPHONE:
(760) 668-6103
CITY:THOUSAND PALMSSTATE: CAZIP CODE:
92276
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
01/31/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Assistant Director Jennifer SanchezTIME COMPLETED:
02:40 PM
NARRATIVE
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On 1/31/2023, Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conclude an investigation. LPA Lopez toured the facility, verified staff associations, and took a census. While touring the infant room, LPA Lopez observed an infant sleeping in a crib with a pacifier in their mouth. The pacifier had a clip/holder attached to it, which is a violation of Title 22 regulations.

See LIC809-D for cited deficiency.

LPA Lopez informed Assistant Director Jennifer Sanchez that this report dated 1/31/2023 document(s) (1) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

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.



Also, LPA Lopez informed the Assistant Director Jennifer Sanchez to provide a copy of this licensing report dated 1/31/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Assistant Director Jennifer Sanchez
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 01/31/2023 02:22 PM - It Cannot Be Edited


Created By: Samuel Lopez On 01/31/2023 at 01:55 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: STRONG FOUNDATIONS LEARNING CENTER
FACILITY NUMBER: 334841689

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/01/2023
Section Cited
CCR
101439.1(f)(1)(A)

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Infant Care Center Sleeping Equipment: There shall not be anything attached to the pacifier. Based on observation, the licensee did not comply with the section cited above. There was a sleeping infant with a pacifier in the mouth that had a clip/holder attached.
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Staff immediately removed the clip/holder during the inspection. Licensee/Assistant Director agrees to conduct Infant Safe Sleep training and submit an agenda and sign in sheet as proof. Proof to be submitted to the Riverside Child Care Regional Office by 2/1/2023.
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This poses/posed an immediate health, safety or personal rights risk to persons in care.
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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:Aaron Ross
LICENSING EVALUATOR NAME:Samuel Lopez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2023


LIC809 (FAS) - (06/04)
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