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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846041
Report Date: 11/01/2022
Date Signed: 10/19/2023 10:46:05 AM

Document Has Been Signed on 10/19/2023 10:46 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:BERMUDA DUNES LEARNING CENTER IN PALM DESERTFACILITY NUMBER:
334846041
ADMINISTRATOR:CLARK,GAYLEFACILITY TYPE:
850
ADDRESS:47549 CA HWY 74TELEPHONE:
(760) 861-2318
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY: 90TOTAL ENROLLED CHILDREN: 48CENSUS: 28DATE:
11/01/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Jean EspinoTIME COMPLETED:
03:35 PM
NARRATIVE
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On the date and time listed, Licensing Program Analyst (LPA) Nasha King arrived at the facility to conduct an inspection for a separate purpose. LPA toured the facility, took census, and verified staff’s criminal record clearances and associations to the facility.

While touring the facility and verifying facility associations, LPA King, observed 5 staff members present and working at the facility without an eligible Criminal Record Clearance. 4 staff members were fingerprinted and cleared but did not have appropriate associations to this facility's license nor the facility’s administrative facility (330911148), while the other staff member had no record of a criminal record clearance.

Based on appeal, although your staff did not submit fingerprint transfer requests to the correct email address for four staff, you did submit the requests to the Department in good faith and, for three of them, in accordance with regulation. You admit that one of the transfer requests was submitted four days after the employee started working in the facility. You also submitted documentation that one employee was fingerprinted through a Live Scan vendor who input the facility number incorrectly, resulting in the staff not being associated to your facility. For these reasons, the citation will be amended to reflect that the association request for one staff person was not submitted timely, resulting in a potential risk (Type B) and a civil penalty assessment of $400.00 ($100.00 assessed per day worked before the transfer was requested).

See LIC 809D for amended cited deficiency. A Civil Penalty was assessed during the previous inspection. Payment was made on 8/25/23.



An exit interview was conducted, a copy of this report and 809D was provided. Upon receipt of this report, the Director shall post the Notice of Site Visit and it shall remain posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2022
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 10/19/2023 10:46 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 10/18/2023 07:53 AM


Created By: Anastasia Flores On 11/01/2022 at 02:22 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: BERMUDA DUNES LEARNING CENTER IN PALM DESERT
FACILITY NUMBER: 334846041

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/02/2022
Section Cited
CCR
101170(e)(2)

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101170(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) or

This requirement is not met as evidenced by:
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The Director agrees to process clearance transfer by submitting proper documentation (LIC 9182, LIC 508, and Driver License) to CCL office. Proof of completion to be submitted by 11/02/2022 to the Riverside Southeast Child Care Regional Office.
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Based on records review, the Licensee did not comply with the section cited above, as one staff member either did not have a clearance or were cleared but not associated the facility, which poses an potential health, safety or personal rights risk to persons in care.
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7/14/23; staff did not submit fingerprint transfer requests to the correct email address for our agency, your office did submit in good faith to our department for three of the staff.one staff submitted through livescan office that input the wrong facility number, you admit that one of your staff was brought in to work four days prior to requesting transer request to associate to your facility.

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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:Pauline Beschorner
LICENSING EVALUATOR NAME:Anastasia Flores
LICENSING EVALUATOR SIGNATURE:
DATE: 11/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/01/2022


LIC809 (FAS) - (06/04)
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