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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846127
Report Date: 04/27/2023
Date Signed: 04/27/2023 06:07:59 PM

Document Has Been Signed on 04/27/2023 06:07 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:CHILDREN'S PLACE CHILD DEVELOPMENT CENTER LLC, THEFACILITY NUMBER:
334846127
ADMINISTRATOR:FIGUEROA, AMERICA LETICIAFACILITY TYPE:
850
ADDRESS:45-114 SMURR STTELEPHONE:
(760) 619-3286
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY: 25TOTAL ENROLLED CHILDREN: 23CENSUS: 12DATE:
04/27/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:06 PM
MET WITH:America FigueroaTIME COMPLETED:
06:25 PM
NARRATIVE
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On 04/27/2023, Licensing Program Analyst's (LPA) Lorena Valenzuela and Jeanette Sanchez met with The Children’s Place Child Development Center, America Figueora to discuss information received during a review of an incident that occurred at Child Care Center facility. LPA’s conducted a tour of the facility and LPA Valenzuela interview Staff #1, Staff #2 and Director.

Confidential interviews revealed that staff is not adequately supervising children in care while in the outdoor area.
Based on review of video without audio, LPA Valenzuela observed that on 02/08/2023, there was two staff supervising 14 children in care in the outdoor play area. LPA Valenzuela observed Staff #1 and Staff #2 to be sitting in the outdoor area with Staff #2 having their back to several children in care. Interviews revealed supervision in the outdoor area includes staff standing in each or opposite corner and visually supervising children in the playground. Staff #1 and Staff #2 corroborated S2 was not supervising adequately on that day.

Based on interviews and video observations, on 02/08/2023, the facility did not ensure children were properly supervised. The facility is being cited under Title 22, Section 101229 (a) (1), Responsibility for Providing Care and Supervision.

An exit interview was conducted, a copy of this report, the LIC 809-D, Appeal Rights were provided to Director America Figueroa. A Notice of Site Visit was issued and posted.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2023
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 04/27/2023 06:07 PM - It Cannot Be Edited


Created By: Lorena Valenzuela On 04/27/2023 at 05:31 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: CHILDREN'S PLACE CHILD DEVELOPMENT CENTER LLC, THE
FACILITY NUMBER: 334846127

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/12/2023
Section Cited
CCR
101229(a)(1)

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101229 (a) (1) Responsibility for Providing Care and Supervision.
The licensee shall provide care and supervision as necessary to meet the children's needs...Supervision shall include visual observation.
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Director states provided training on supervision on 04/20/2023 and will provide the Department with documentation of training provided to all staff by due date 05/12/2023.
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This requirement was not met as evidenced by:
Based on interviews and video observations, the facility did not ensure staff provided visual supervision at all times, to children in care. This poses a potential health, safety or personal rights risk to the 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:Deborah Mullen
LICENSING EVALUATOR NAME:Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:
DATE: 04/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/27/2023


LIC809 (FAS) - (06/04)
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