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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300440
Report Date: 12/21/2023
Date Signed: 12/21/2023 02:14:36 PM

Document Has Been Signed on 12/21/2023 02:14 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:KID'S WORLD PRESCHOOLFACILITY NUMBER:
336300440
ADMINISTRATOR:CARRANZA,MONICAFACILITY TYPE:
850
ADDRESS:29879 SANTIAGO RDTELEPHONE:
(951) 699-9777
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 142TOTAL ENROLLED CHILDREN: 142CENSUS: 64DATE:
12/21/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Monica CarranzaTIME COMPLETED:
02:30 PM
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On December 21, 2024 at 12:45PM, Licensing Program Analyst (LPA) William Chancellor arrived to Kid's World Preschool (CCC) and was greeted and granted access to facility by Director (DIR) Monica Carranza. The purpose is for a case management visit is in response to a Unusual Incident Report (UIR) received by the Community Care Licensing (CCL) on 11/19/23.

Confidential interview's were conducted with two staff and Child 1 (C1).

Based on information gathered, the facility acted appropriately and no violations have been identified. Parents were immediately notified and C1 received appropriate medical care in a timely order.

Three of three interviews confirmed this was a random isolated incident where the child slipped and fell, hitting their forehead on a bench. No hazards were observed on the playground where the incident occurred. CCC took extra precaution to talk to parents of C1 to provide better fitting shoes and will provide feedback to staff to set up activities in the grass to prevent children from running up to the tables under the patio.

There are no deficiencies at this time.

An exit interview was conducted, and a copy of this report was provided to facility staff.

Notice of site visit must be posted for 30 consecutive days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 12/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/21/2023
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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