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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846446
Report Date: 02/16/2024
Date Signed: 02/16/2024 10:24:02 AM

Document Has Been Signed on 02/16/2024 10:24 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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:SOUTHWEST CHRISTIAN ACADEMYFACILITY NUMBER:
334846446
ADMINISTRATOR:ILLONA ANDERSONFACILITY TYPE:
830
ADDRESS:44-175 WASHINGTON STREETTELEPHONE:
(760) 200-2000
CITY:INDIAN WELLSSTATE: CAZIP CODE:
92210
CAPACITY: 41TOTAL ENROLLED CHILDREN: 36CENSUS: 9DATE:
02/16/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:06 AM
MET WITH:Director Illona Anderson and Assistant Director Deborah BenavidesTIME COMPLETED:
11:00 AM
NARRATIVE
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Licensing Program Analyst (LPA) Samuel Lopez arrived to conduct an inspection for an unrelated and in the process toured the facility, took a census, and verified associations of staff to the facility licenses. In touring that infant and toddlers rooms, LPA Lopez observed the partitions utilized to separate the activity space from the napping space not to be in compliance. LPA Lopez took a measurement and verified that the partitions were between two feet and six inches to two feet and seven inches, as opposed to the required four feet.

See LIC 809-D for deficiency cited.

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 Illona Anderson.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2024
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 02/16/2024 10:24 AM - It Cannot Be Edited


Created By: Samuel Lopez On 02/16/2024 at 09:20 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: 334846446

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/01/2024
Section Cited
CCR
101438.3(b)(2)

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Indoor Activity Space for Infants - Moveable walls or partitions, if used, shall be at least four feet high; shall be constructed of sound-absorbing material; and shall be designed to minimize the risk of injury to infants.
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Director agrees to install four feet high partitions between the napping space and the activity space. Proof to be submitted to the Riverside Child Care Regional Office by 3/1/2024.
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This requirement was not being met as evidenced by observation and measurement taken of the partitions being less than four feet high. This poses/posed a potential health, safety 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:Aaron Ross
LICENSING EVALUATOR NAME:Samuel Lopez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/16/2024


LIC809 (FAS) - (06/04)
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