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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360901456
Report Date: 06/05/2024
Date Signed: 06/05/2024 03:14:29 PM

Document Has Been Signed on 06/05/2024 03:14 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:BONNIE WEE ONESFACILITY NUMBER:
360901456
ADMINISTRATOR/
DIRECTOR:		JANALEE BRADLEYFACILITY TYPE:
850
ADDRESS:449 NORTH LILAC AVENUETELEPHONE:
(909) 875-7073
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY: 22TOTAL ENROLLED CHILDREN: 6CENSUS: 4DATE:
06/05/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Janalee BradleyTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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On 06/05/2024 at 8:45 AM, Licensing Program Analyst (LPA) Tiffanie Diep arrived at the facility to conduct an annual inspection. LPA toured the facility inside and out, records were reviewed, and the following was observed and/or discussed:
  • This is a combination center and the other licensed program is school-age (360908633), which was also inspected today.
  • Normal days and hours of operation are Monday through Saturday from 5:30 AM to 6:00 PM.
  • The facility was operating with the limits as stated on the license.
  • Ratios were being met during the inspection.
  • Classrooms were adequately equipped with age and size-appropriate furniture and equipment and free of hazards.
  • There are no weapons present at the facility per Licensee Janalee Bradley.
  • Licensee confirmed there are no accessible bodies of water present at this time. All wading pools or similar products must be emptied immediately after use.
  • Uncontaminated drinking water was readily available both indoors and outdoors and provided by filtered water in water jugs and disposable cups.
  • There are no children currently enrolled that have any prescribed medication per Licensee.
  • All hazardous items, such as disinfectants, cleaning solutions, and other items that could pose a danger were stored inaccessible to children.
  • All floors were observed to be clean and safe.
  • Restrooms were observed to be safe, sanitary, and in operating condition.
  • Outdoor activity areas were supplied with age and size-appropriate equipment in good condition.
  • Playgrounds were enclosed by appropriate fences and were free of hazards.
  • Food preparation area was clean, free of litter, rubbish, and free of rodents and other vermin.

Continues on LIC 809-C
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2024
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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BONNIE WEE ONES
FACILITY NUMBER: 360901456
VISIT DATE: 06/05/2024
NARRATIVE
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Continued from LIC 809 (Page 2)
  • Food was stored appropriately and protected from contamination.
  • All storage containers for solid waste, including moveable bins, had tight-fitting covers that were kept on and in good repair.
  • The areas around or under high climbing equipment, swings, slides, and similar equipment were cushioned with material that absorbs a fall, which was artificial turf.
  • Sign-in/out records were reviewed and met regulation requirements.
  • Children’s records were not complete. LPA did not observe Physician's Report (LIC 701) forms were completed and maintained for three out of four children. LPA also did not observe Personal Rights (LIC 613A) forms were signed for two out of four children.
  • Staff records reviewed during today’s inspection indicate that all facility staff or other individuals who require caregiver background checks have received all required clearances or exemptions and meet minimum qualifications for the position for which they were hired. During record review, LPA did not observe required immunizations for all staff.
  • Licensee completed preventive health and safety training.
  • A staff member was present with current pediatric CPR and first aid certification which expires on 04/2025.
  • Licensee’s Mandated Reporter Training certificate expires on 05/26/2025.
  • Documentation of fire and disaster drills was on file; last drill was conducted on 03/04/2024.
  • Licensee was informed of their reporting requirements and was provided with the Regional Office’s Unusual Incident Reporting e-mail at UnusualIncidentReportsDO09@dss.ca.gov.
  • Licensee can submit transfer forms to associate new individuals or to disassociate someone from the facility via e-mail to Associations_Disassociations862@dss.ca.gov.
  • The Duty Officer is available to answer questions Monday through Friday from 8:00 AM to 5:00 PM at (951) 782-4200.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BONNIE WEE ONES
FACILITY NUMBER: 360901456
VISIT DATE: 06/05/2024
NARRATIVE
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Continued from LIC 809-C (Page 3)

The following items were posted and updated where necessary:
  • License
  • Emergency Disaster Plan (LIC 610) and Earthquake Preparedness Checklist (LIC 9148)
  • Notification of Parents' Rights poster (PUB 393)
  • Personal Rights (LIC 613A)
  • California Child Passenger Safety Law (PUB 269)
  • Menu

The licensee is asked to update the following documents, if applicable, and submit to Licensing within 30 days:
  1. Designation of Facility Responsibility (LIC 308) (only if changes have been made)
  2. Administrative Organization (LIC 309) (only if changes have been made)
  3. Personnel Report (LIC 500)
  4. Emergency Disaster Plan (LIC 610)
  5. Parent Handbook/Program Curriculum/Admission policies and procedures/Fee schedule (only if changes have been made)

Licensee was reminded that all adults 18 and over, 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 five 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.

LPA referred Licensee to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: BONNIE WEE ONES
FACILITY NUMBER: 360901456
VISIT DATE: 06/05/2024
NARRATIVE
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Continued from LIC 809-C (Page 4)

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated 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 are available at https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey may be sent to the e-mail address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE Tool, please send e-mail inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process. Licensee was informed of the MyChildCarePlan.org website, 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.

Based on LPA’s observation, interviews conducted, and records reviewed, deficiencies are being cited on the attached LIC 809-D. LPA Tiffanie Diep informed the licensee, Janalee Bradley, that this report dated 06/05/2024 documents three Type B citations as there was a potential risk to the health and personal rights of children in care.

An exit interview was conducted and report was reviewed with the licensee, Janalee Bradley. A notice of site visit was given to Licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/05/2024 03:14 PM - It Cannot Be Edited


Created By: Tiffanie Diep On 06/05/2024 at 01:48 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: BONNIE WEE ONES
FACILITY NUMBER: 360901456

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interviews conducted, and records reviewed, the licensee did not comply with the section cited above as licensee did not ensure required immunizations were maintained for all personnel which poses a potential health risk to children in care.
POC Due Date: 07/05/2024
Plan of Correction
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LPA discussed the requirement to maintain documentation of the required immunizations for all employees and volunteers. Licensee agreed to provide proof of required immunizations for S1 to LPA by 07/05/2024.
Type B
Section Cited
CCR
101220(a)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview conducted, and records reviewed, the licensee did not comply with the section cited above as licensee did not ensure Physician's Report (LIC 701) forms were completed and maintained for three out of four children which poses a potential health risk to children in care.
POC Due Date: 07/05/2024
Plan of Correction
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LPA discussed the requirement to obtain written medical assessments for children within the specified timeframe. Licensee agreed to provide copies of completed LIC 701 forms for C1, C2, and C3 to LPA by 07/05/2024.
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:Ana Noble
LICENSING EVALUATOR NAME:Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:
DATE: 06/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/05/2024 03:14 PM - It Cannot Be Edited


Created By: Tiffanie Diep On 06/05/2024 at 01:51 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: BONNIE WEE ONES
FACILITY NUMBER: 360901456

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101223(b)(1)(A)
101223 Personal Rights (b)(1)(A) Each authorized representative shall be asked to sign and date the acknowledgement-of-receipt statement at the bottom of the LIC 613A (9/96). This documentation shall be kept in the child's file.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview conducted, and records reviewed, the licensee did not comply with the section cited above as licensee did not ensure LIC 613A forms were signed for two out of four children which poses a potential personal rights risk to children in care.
POC Due Date: 07/05/2024
Plan of Correction
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LPA discussed the requirement to maintain documentation of each child’s parent/authorized representative’s signature indicating acknowledgement of receipt of the LIC 613A form. Licensee agreed to provide copies of completed LIC 613A forms for C1 and C2 to LPA by 07/05/2024.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Ana Noble
LICENSING EVALUATOR NAME:Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:
DATE: 06/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2024


LIC809 (FAS) - (06/04)
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