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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846445
Report Date: 02/05/2025
Date Signed: 02/05/2025 01:30:15 PM

Document Has Been Signed on 02/05/2025 01:30 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:SOUTHWEST CHRISTIAN ACADEMYFACILITY NUMBER:
334846445
ADMINISTRATOR/
DIRECTOR:		DEBORAH ANGULOFACILITY TYPE:
850
ADDRESS:44-175 WASHINGTON ST.TELEPHONE:
(760) 200-2020
CITY:INDIAN WELLSSTATE: CAZIP CODE:
92210
CAPACITY: 82TOTAL ENROLLED CHILDREN: 73CENSUS: 44DATE:
02/05/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:20 AM
MET WITH:Director Deborah AnguloTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct a case management visit in response to the receipt of an Unusual Incident Report (UIR). The UIR was received by the licensing department on 1/30/2025. The UIR documented an incident involving a child that sustained an injury to the leg/hip area.

Upon arrival this date on 2/5/2025, LPA Lopez met with facility Director Deborah Angulo and explained the purpose of the visit. Records were reviewed, interviews were conducted, video footage was viewed. The following information was provided/obtained: there were six children siting on the activity rug, in the floor, while the staff was providing instruction on a board. The staff observed two children pushing or scooting back away from the activity rug an on to the bare floor. As the children made their way to the floor and off the activity rug, the staff walked over, grabbed each child, picking them up off the ground, and then tossing them back down onto the activity rug. In doing so, one of the children began to cry immediately upon their bottom leg hitting the ground, this also resulted in the child having a limp as they walked. Subsequently, and after this was determined the staff responsible was terminated.

Based on the information gathered, facility failed to comply with regulation section 101223, which reads that the licensee shall ensure that each child is accorded their Personal Rights.

See LIC809-D for cited deficiency.



LPA Samuel Lopez informed Director Deborah Angulo that this report dated February 5, 2025, 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. Also, LPA Samuel Lopez informed the Director Deborah Angulo to provide a copy of this licensing report dated February 5, 2025 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.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: SOUTHWEST CHRISTIAN ACADEMY
FACILITY NUMBER: 334846445
VISIT DATE: 02/05/2025
NARRATIVE
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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.



Exit interview conducted and report was reviewed with the Director Deborah Angulo.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/05/2025 01:30 PM - It Cannot Be Edited


Created By: Samuel Lopez On 02/05/2025 at 08:38 AM
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: SOUTHWEST CHRISTIAN ACADEMY
FACILITY NUMBER: 334846445

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/06/2025
Section Cited
CCR
101223(a)(3)

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Personal Rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting;
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Staff responsible was terminated. Director agrees to conduct in-service training regarding regulation section cited. An agenda and sign in sheet for staff attending training to be submitted to the Riverside Child Care Regional office by 2/6/2025.
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or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by: Based on interview and observation, a staff grabbed two children, picking them up off the ground, and then tossing them back down onto the activity rug, causing one child to
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injure their leg/hip area. This poses 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: 02/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/05/2025


LIC809 (FAS) - (06/04)
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