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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364816953
Report Date: 03/05/2024
Date Signed: 03/05/2024 01:15:11 PM

Document Has Been Signed on 03/05/2024 01:15 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:TENDER CARE FOR KIDSFACILITY NUMBER:
364816953
ADMINISTRATOR:CARMEN WEBBFACILITY TYPE:
850
ADDRESS:525 NORTH DEARBORN STREETTELEPHONE:
(909) 793-4885
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY: 61TOTAL ENROLLED CHILDREN: 30CENSUS: 20DATE:
03/05/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Carmen and Demitria WebbTIME COMPLETED:
01:30 PM
NARRATIVE
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On 03/05/2024 at 9:00 AM, Licensing Program Analysts (LPAs) Tiffanie Diep and Raymond Moorehead met with Assistant Director Demitria Webb for the purpose of an unannounced case management inspection. LPAs observed three staff supervising 20 children. At approximately 12:00 PM, Director Carmen Webb arrived to the facility.

LPAs observed one staff who was present with children and does not have a current criminal record clearance. This is an immediate risk to children in care and is an immediate civil penalty of $500. A deficiency is being cited on the attached LIC 809-D. Director and Assistant Director were 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.

Based on LPAs’ observations, interviews conducted, and records reviewed, a deficiency is being cited on the attached LIC 809-D. LPAs Tiffanie Diep and Raymond Moorehead informed the facility representatives, Carmen and Demitria Webb, that this report dated 03/05/2024 documents one Type A citation which shall be posted for 30 consecutive days as there was an immediate risk to the health, safety, or personal rights of children in care.

Continues on LIC 809-C
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2024
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: TENDER CARE FOR KIDS
FACILITY NUMBER: 364816953
VISIT DATE: 03/05/2024
NARRATIVE
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Continued from LIC 809 (Page 2)

Also, LPAs informed facility representatives to provide a copy of this licensing report dated 03/05/2024 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgment of Receipt of Licensing Reports (LIC 9224), or other written statement, must be placed in the child’s file for verification.

An exit interview was conducted and report was reviewed with the facility representatives, Carmen and Demitria Webb. A notice of site visit was given to facility representatives and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/05/2024 01:15 PM - It Cannot Be Edited


Created By: Tiffanie Diep On 03/05/2024 at 12:43 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: TENDER CARE FOR KIDS

FACILITY NUMBER: 364816953

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/06/2024
Section Cited
CCR
101170

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101170 Criminal Record Clearance (d) All individuals subject to a criminal record review...shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department...
This requirement is not met as evidenced by:
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LPAs reminded facility representatives of criminal record clearance requirements. Facility representatives agreed to have S1 complete a Live Scan and will provide LPAs with a completed copy of the Live Scan form by 03/06/2024.
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Based on observations, interviews conducted, and records reviewed, the facility representatives did not ensure a criminal record clearance was obtained for S1 prior to working at the facility which poses an immediate health, safety, or personal rights risk to children in care.
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Facility representatives stated S1 will not return to the facility until a criminal record clearance is obtained.

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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:Aaron Ross
LICENSING EVALUATOR NAME:Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:
DATE: 03/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/05/2024


LIC809 (FAS) - (06/04)
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