364830665-8-23-2024-09-CC-TDIP-D8ES69-20240823133536

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364830665
Report Date: 08/23/2024
Date Signed: 08/23/2024 01:35:51 PM

Document Has Been Signed on 08/23/2024 01:35 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:	SBCSS LIVE OAK STATE PRESCHOOL BLDG. C0-1		FACILITY NUMBER:	364830665
ADMINISTRATOR/ DIRECTOR:	PATTY EVANS		FACILITY TYPE:	850
ADDRESS:	2547 EAST RIVERSIDE DRIVE		TELEPHONE:	(909) 673-1705
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91761
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 20	CENSUS: 8	DATE:	08/23/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:45 AM
MET WITH:	Cynthia Cervantes		TIME VISIT/ INSPECTION COMPLETED:	01:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 08/23/2024 at 9:45 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 not a combination center. Normal days and hours of operation are Monday through Friday from 8:15 AM to 11:15 AM and from 12:00 PM to 3:00 PM. A review of staff and children's records was conducted as part of this evaluation. The facility was operating with the limits as stated on the license. Ratios were being met during the inspection. Classroom were adequately equipped with age and size-appropriate furniture and equipment and free of hazards. There are no weapons present at the facility per Site Supervisor Cynthia Cervantes. Site Supervisor 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 water fountains. Water testing for lead contamination was completed on 02/17/2022. There are no children currently enrolled that have any prescribed medication per Site Supervisor. 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. Continues on LIC 809-C

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024

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: SBCSS LIVE OAK STATE PRESCHOOL BLDG. C0-1	FACILITY NUMBER: 364830665
	VISIT DATE: 08/23/2024

NARRATIVE

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Continued from LIC 809 (Page 2)

Playgrounds were enclosed by appropriate fences and were free of hazards.
Food is prepared and provided by Renu Hope and delivered to the facility once per week. Any snacks available at the facility are 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.
Menus were posted at least one week in advance in a place visible by the child’s authorized representative, dated, kept on file for 30 days, and made available upon request.
The program currently shares the play area with the special education preschoolers with an approved waiver.
The areas around or under high climbing equipment, swings, slides, and similar equipment were cushioned with material that absorbs a fall, which was rubber mats.
Sign-in/out records were reviewed and met regulation requirements.
Children’s records were complete.
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.
Site Supervisor completed preventive health and safety training in the Fall 1994 session. Preventive health and safety training including lead exposure was completed on 02/10/2022.
A staff member was present with current pediatric CPR and first aid certification which expires on 05/18/2026.
Site Supervisor’s Mandated Reporter Training certificate expires on 02/14/2026.
Documentation of fire and disaster drills was on file; last drill was conducted on 08/16/2024.
Site Supervisor was informed of their reporting requirements and was provided with the Regional Office’s Unusual Incident Reporting e-mail at UnusualIncidentReportsDO09@dss.ca.gov.
Site Supervisor 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: 08/23/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024

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: SBCSS LIVE OAK STATE PRESCHOOL BLDG. C0-1	FACILITY NUMBER: 364830665
	VISIT DATE: 08/23/2024

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 site supervisor is asked to update the following documents, if applicable, and submit to Licensing within 30 days:

Designation of Facility Responsibility (LIC 308) (only if changes have been made)
Administrative Organization (LIC 309) (only if changes have been made)
Personnel Report (LIC 500)
Emergency Disaster Plan (LIC 610)
Parent Handbook/Program Curriculum/Admission policies and procedures/Fee schedule (only if changes have been made)

Site Supervisor 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every five years after the date of the first test. 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 verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024

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: SBCSS LIVE OAK STATE PRESCHOOL BLDG. C0-1	FACILITY NUMBER: 364830665
	VISIT DATE: 08/23/2024

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. Site Supervisor 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.

There were no deficiencies cited at this time. An exit interview was conducted and report was reviewed with the site supervisor, Cynthia Cervantes. A notice of site visit was given to Site Supervisor 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: 08/23/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024

LIC809 (FAS) - (06/04)

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