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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336301036
Report Date: 09/30/2024
Date Signed: 09/30/2024 07:09:06 PM

Document Has Been Signed on 09/30/2024 07:09 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:BROOKSIDE ACADEMY PRESCHOOLFACILITY NUMBER:
336301036
ADMINISTRATOR/
DIRECTOR:
WALKER,ROXANNEFACILITY TYPE:
860
ADDRESS:29910 HUNTER RDTELEPHONE:
(951) 230-6432
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 30DATE:
09/30/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:40 PM
MET WITH:Brittany Roxanne Walker ApplicantTIME VISIT/
INSPECTION COMPLETED:
07:00 PM
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On the above noted date and time, Licensing Program Analyst (LPA), Diana Brasel conducted an announced Pre-Licensing inspection for a Change Of Ownership. Upon arrival, LPA met with Applicant Roxanne Walker. Applicant is requesting to be licensed for 80 preschool children ages 2 through 5 in rooms A, B, C, D, and E. The applicant submitted an updated LIC 200A requesting a capacity of 75 preschool children due to quantity of toilets. Hours of operation will be Monday - Friday 6:30 am- 6:00 pm.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Brittany Roxanne Walker that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Brittany Roxanne Walker stated that they will be stored locked in the staff restroom. A fully equipped first aid kit is located in the staff restroom. There is an operational carbon monoxide detector on site located in each classroom and kitchen. All required licensing documents were observed posted in the lobby. Children will be signed in and out in the lobby.

LPA continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured 3972.43, which is sufficient to accommodate the requested capacity of 80 children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via filtered water, disposable cups and children's drinking cups. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 05/14/2024.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE: DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: BROOKSIDE ACADEMY PRESCHOOL
FACILITY NUMBER: 336301036
VISIT DATE: 09/30/2024
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LPA observed a total of 8 sinks and 5 toilets available for children’s use. There are sufficient sinks to accommodate the requested capacity of 80 children, there are 5 toilets that is not sufficient to accommodate the requested capacity of 80 children. The applicant has submitted an updated LIC 200A for a capacity 75 preschool children. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the office.

Facility will provide am and pm snacks. The kitchen area currently includes stove, toaster, microwave, dishwasher, refrigerator, and freezer. The kitchen area and food storage areas were observed free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials. Hazardous items in kitchen are inaccessible to children via a locked door.

The facility currently has a fully fenced playground area. Fencing is wrought iron which is at least four feet high. The total square footage for all the outdoor activity space is 4045.92 for all 3 playgrounds, playground A is 2123.00, playground B is 934.92, and playground C is 988.00, which is not sufficient accommodate the requested capacity. A playground waiver to share the playground at different times in the AM and PM due to limited square footage shall be submitted and approved prior to licensure. Shade is provided via wind sails and trees. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on the playground for children ages 2-5 which is properly anchored. There is adequate cushioning in fall zones of climber provided by wood chips on playground A and rubber mats on playground C, playground B doens't have a climbing structure. Drinking water is available via filtered water using pitchers and disposable cups. LPA observed all hazardous items on the playground to be inaccessible to children. Applicant Brittany Roxanne Walker was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).



LPA reviewed with applicant the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: BROOKSIDE ACADEMY PRESCHOOL
FACILITY NUMBER: 336301036
VISIT DATE: 09/30/2024
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Criminal Record Clearance - Child Care Centers:
Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

APPLICANT KNOWS PROSPECTIVE CLIENTS WILL NEED IMS:


This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

MyChildCarePlan.org--Child Care Centers and Family Child Care Home:
Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Subscribe to CCLD important information - Child Care Centers and Family Child Care Homes: Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: BROOKSIDE ACADEMY PRESCHOOL
FACILITY NUMBER: 336301036
VISIT DATE: 09/30/2024
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The following corrections are needed prior to the issuance of the license:

1. Proofs that all shelves in each classroom that are not mounted have been mounted.
2. Proof that all mail box shelves have been mounted in each classroom.
3. Proof that all rusted areas on the wrought iron fencing surrounding the 3 playgrounds has been
repaired.
4. Proof that additional cushioning material has been added to playground C under the climbing
structure.
5. Proof that all areas of the walls in Room E that has chipped paint has been repaired.
6. Proof that where the spots where the hinges have been removed from the door entry area from the
front portion of Room E to the back portion of Room E have been repaired.
7. Proof that the two sinks located in Room E have been labeled, sink on the left is labeled for
children, sink on the right will be labeled for staff and a sink blocker will be installed on the sink to
the right, which will be used as the staff sink for the changing table.
8. Proof that all small cabinets/shelves located in each classroom that is chipped or has compressed
exposed wood is repaired or replaced.
9. Proof that the drinking fountain on sink located in Room E has been removed, the sink will be used
for staff for changing table.
10. Proof that all tall screws on the base of the children's toilets have cut down and capped.
11. Proof that trash cans with tight fitting lids have been purchase for food waste.

LPA Brasel will obtain an updated STD 850 to reflect the updated capacity 75 preschool children in Rooms, A, B, C, D, and E.

Applicant understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

Exit interview conducted and report was reviewed with the applicant Brittany Roxzanne Walker.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
LIC809 (FAS) - (06/04)
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