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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300471
Report Date: 02/09/2024
Date Signed: 02/09/2024 10:11:55 AM

Document Has Been Signed on 02/09/2024 10:11 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:PATHWAYS LEARNING ACADEMYFACILITY NUMBER:
336300471
ADMINISTRATOR:CHANTEL UHRICHFACILITY TYPE:
850
ADDRESS:44651 AVENIDA DE MISSIONESTELEPHONE:
(951) 302-8498
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 42DATE:
02/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Chantel Uhrich, DirectorTIME COMPLETED:
10:30 AM
NARRATIVE
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On February 9, 2024 at 8:10AM, Licensing Program Analyst (LPA) William Chancellor arrived unannounced to the facility to conduct a case management visit due to an unusual incident report received on 2/2/24. The incident involved a child tripping over gross motor "River Stones" stepping blocks, causing child to fall and hitting their head. LPA met with Director Chantal Uhrich and conducted a tour of the facility. Appropriate ratio's and supervision was observed.

During the visit, LPA conducted interviews with Director and two staff, (S1-S2) all who were involved with the incident. Interviews revealed that staff were in ratio at the time of the incident and S1 observed C1 running, tripping over river stones and falling forward hitting their forehead.

LPA determined that the facility staff took the necessary steps to immediately remove the remaining toddler aged children from the area, applied first aid and notified the parents of C1 immediately. However, reviewing the manufacture website, Director and LPA confirmed that the toddler class were not using the "River Stones" in an age appropriate manner. The manual states children who are younger then two often use their hands and interviews revealed, C1 was not instructed to use their hands and instead was running when they fell. Furthermore, there was no padding or cushion directly surrounding the river stones.

Based on interviews conducted and records reviewed, the Department finds the facility did not comply with regulation where age appropriate play equipment and materials should be provided. Facility is cited under Title 22, Section 101238(m) Fixtures, Furniture, Equipment and Supplies. See 809-D for cited deficiency.

An exit interview was conducted, a copy of this report, LIC 811 (Confidential Names List) and appeal rights were reviewed with and provided to Director Chantel Uhrich. A notice of site visit was also provided and must remain posted for 30 days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2024
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 02/09/2024 10:11 AM - It Cannot Be Edited


Created By: William M Chancellor Jr. On 02/09/2024 at 09:52 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: PATHWAYS LEARNING ACADEMY
FACILITY NUMBER: 336300471

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/09/2024
Section Cited
CCR
101239(m)

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Fixtures, Furniture, Equipment and Supplies
(m) All play equipment and materials used by children shall be age-appropriate.
This requirement is not met as evidenced by:
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Director immidately removed the river rocks from toddler classroom. Director agrees to only use the river rocks on a cushioned surgace, outside or when toddlers are instructed to use theirs hands when climbing.
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Based on interviews and records reviewed, C1 was not instructed to utilize the River stones in an appropriate manner by utilizing thier hands when crawling or climbing. C1 was running and tripped and the floor that was not cushioned, causing C1 to hit their forehead.
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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:Pauline Beschorner
LICENSING EVALUATOR NAME:William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:
DATE: 02/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/09/2024


LIC809 (FAS) - (06/04)
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