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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300087
Report Date: 10/24/2024
Date Signed: 11/06/2024 09:33:57 AM

Document Has Been Signed on 11/06/2024 09:33 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:ABC CHILD CARE CENTERFACILITY NUMBER:
336300087
ADMINISTRATOR/
DIRECTOR:		TONYA WRIGHTFACILITY TYPE:
850
ADDRESS:29705 SOLANA WAYTELEPHONE:
(951) 491-0940
CITY:TEMECULASTATE: CAZIP CODE:
92591
CAPACITY: 190TOTAL ENROLLED CHILDREN: 190CENSUS: 156DATE:
10/24/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:20 PM
MET WITH:Mari Rivera, DirectorTIME VISIT/
INSPECTION COMPLETED:
01:21 PM
NARRATIVE
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On 10/24/2024, at approximately 12:20 PM, Licensing Program Analyst (LPA) Jesse Gardner was inside the facility conducting an investigation. During a review of records, Staff One (S1) was found to be employed since 04/23/2023, and during which, had not initiated a background check through the Department of Justice (DOJ). S1 doesn't work directly with children; however, has an office inside the facility and works inside that office Monday - Friday 09:30 AM - 6:00 PM which is around children in care and often meets with parents.

Based on interviews and record review, the facility is being cited for Title 22, division 12, chapter 1, article 06; section; 101170(e)(1) Criminal Record Clearance.
A Civil Penalty of $500.00 was assessed for this violation of Title 22 Regulations. See LIC421BG.

An exit interview was conducted. A copy of this report, LIC809D, LIC421BG and appeal rights were reviewed and handed to the Director.

The Director was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
If the facility receives a Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. This is an amended copy of the original report dated 10/24/2024.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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 10/24/2024 01:47 PM - It Cannot Be Edited


Created By: Jesse Gardner On 10/24/2024 at 12:59 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: ABC CHILD CARE CENTER
FACILITY NUMBER: 336300087

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/25/2024
Section Cited
CCR
101170(e)(1)

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Criminal Record Clearance:
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, .. in a licensed facility:(1)Obtain a California clearance or a criminal record exemption as required by the Department...This requirement was not met as evidenced by:
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Licensee stated that S1 left the facility on today's date (10/24/24) to initiate their background process. Licensee states that they will provide a clearance to LPA upon receiving from DOJ.
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Based on record review, LPA found S1 to not have a criminal background clearance. This poses an immediate health and safety 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:Deborah Mullen
LICENSING EVALUATOR NAME:Jesse Gardner
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2024


LIC809 (FAS) - (06/04)
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