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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841843
Report Date: 02/22/2024
Date Signed: 02/22/2024 02:47:26 PM

Document Has Been Signed on 02/22/2024 02:47 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KIDDIE ACADEMY OF MURRIETAFACILITY NUMBER:
334841843
ADMINISTRATOR:ELIZABETH SRONCE HOLMESFACILITY TYPE:
830
ADDRESS:41755 JUNIPER STREETTELEPHONE:
(951) 600-0545
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 27DATE:
02/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Breeana BakerTIME COMPLETED:
03:05 PM
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On February 22, 2024 @ 2:00 PM Licensing Program Analyst(LPA) Courtnee Peebles arrived unannounced to KIDDIE ACADEMY OF MURRIETA to conduct a case management visit for a Unusual Incident Report(URI) that was submitted to CCLD stating Child 1 (C1) suffered an injury that did not result in medical attention but just redness and soreness. Facility records were reviewed, and assistant director (AD) and one staff (S1)were interviewed. Based on information gathered, the facility acted appropriately, and no violations have been identified.

Based on interviews, the facility provided first aid care to C1 and called the parent/authorized representative immediately after the incident. Parent of C1 arrived to view C1's injury and C1 was removed from the classroom and permanently placed in another classroom. In addition, licensee reported the incident timely to the Department.

An exit interview was conducted and copy of this report was provided to AD, Breeana Baker.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Courtnee Peebles
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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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