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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334843572
Report Date: 08/22/2024
Date Signed: 08/22/2024 03:35:09 PM

Document Has Been Signed on 08/22/2024 03:35 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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ORTEGA TRAIL YOUTH CENTERS, INCFACILITY NUMBER:
334843572
ADMINISTRATOR/
DIRECTOR:		KATHY EVERHARTFACILITY TYPE:
840
ADDRESS:23151 PALOMAR STREETTELEPHONE:
(951) 678-5240
CITY:WILDOMARSTATE: CAZIP CODE:
92595
CAPACITY: 30TOTAL ENROLLED CHILDREN: 32CENSUS: 23DATE:
08/22/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:25 PM
MET WITH:Kathy EverhartTIME VISIT/
INSPECTION COMPLETED:
03:50 PM
NARRATIVE
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On August 22, 2024, Licensing Program Analysts (LPAs) Cindy Hamilton and Brian Morris conducted an unannounced case management visit to Ortega Trail Youth Centers. LPA met with Director, advised the Director of the purpose for the visit, conducted a tour of the facility and took census of staff and students.

During an investigation of Complaint Control # 10-CC-20240524143147, it was observed that current staff did not meet the personnel requirements set forth in Title 22 or Health and Safety Code. LPA conducted staff records reviews on June 3rd and June 26, 2024, and observed that staff did not have the correct First-Aid/CPR and Mandated Reporter certifications on file. It was also observed on June 26, 2024, that a staff was alone with 13 children without the required certifications and documentation required by Title 22 and they are not qualified to supervise children on their own.

Based on records review, the center did not comply with the Health and Safety Code (HSC), and is being cited for the following: HSC Section 1596.8662(b)(1) Availability of information regarding detecting and reporting child abuse and neglect; training form mandated reporter who is licensed day care provider, administrator, or employee of a licensed child care facility; proof of completion. In addition, the center did not comply with Title 22, Section 101216(f) Personnel Requirements. The facility is being issued two Type B citations in reference to not complying with the above sections, see LIC 809D.

An exit interview was conducted, Director was provided a copy of this report, discussed appeal rights and provided the Notice of Site Visit. Director was reminded that Notice of Site Visit must remain posted for 30 consecutive days.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Cindy Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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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Document Has Been Signed on 08/22/2024 03:35 PM - It Cannot Be Edited


Created By: Cindy Hamilton On 08/22/2024 at 02:30 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: ORTEGA TRAIL YOUTH CENTERS, INC
FACILITY NUMBER: 334843572

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/22/2024
Section Cited
CCR
1596.8662(b)(1)

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HSC 1596.8662(b)(1):(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a) and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:

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Director provided copies of completed mandated reporter and First-Aid/CPR certificates for S2 and S3.
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S2 and S3 did not complete the required Mandated Reporter Training and first aid/CPR for childcare providers which poses a potential health, safety and/or personal rights risk to children in care.
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Type B
08/22/2024
Section Cited
CCR101216(f)

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101216(f) Personnel Requirements:(f)At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health ... shall be present when children are at the childcare center or offsite...This requirement was not met as evidenced by:

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Director provided copies of completed mandated reporter and First-Aid/CPR certificates for S2 and S3.
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On June 26, 2024, LPA Hamilton observed a staff without Pediatric First-Aid/CPR certification providing care and supervision for 13 children which poses a potential health, safety and/or personal rights risk to children 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:Carlos Martinez
LICENSING EVALUATOR NAME:Cindy Hamilton
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2024


LIC809 (FAS) - (06/04)
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