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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841795
Report Date: 05/18/2022
Date Signed: 05/18/2022 05:31:40 PM

Document Has Been Signed on 05/18/2022 05:31 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:HEAVENLY CAREFACILITY NUMBER:
364841795
ADMINISTRATOR:PINEDA, GERALDINEFACILITY TYPE:
850
ADDRESS:1030A E RIVERSIDE DRIVETELEPHONE:
(909) 930-1909
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 20DATE:
05/18/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Geraldine PinedaTIME COMPLETED:
05:45 PM
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Licensing Program Analyst (LPA) Blanca Ruiz arrived at the facility to conduct a case management inspection in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 05/09/2022. It indicates that on 05/03/2022 at approximately 4:00 p.m. a parent/legal guardian alleged witnessing a staff scolding and hitting a child in the playground for running his/her bicycle into a brick wall. At the time of the inspection, LPA toured the facility, took census, and met with the Director, Geraldine Pineda to further discuss the incident. During the inspection, LPA toured the facility, including the area where the alleged incident took place.  LPA observed staff at the facility providing care and supervision while children where having snack and transitioning to other activities Additional interviews with pertinent parties were conducted to obtain details regarding the reported incident. Facility records were reviewed, and interviews were conducted with staff and children on site. An internal investigation was also conducted by the facility to clarify information provided by parent/legal guardian the week of the incident. Staff involved in the alleged incident was removed until center conducted an investigation and obtained findings.
LPA gathered the following information:  It was disclosed that the day in question parent/legal guarding observed Staff #1 scolding and hitting Child #1 and he/she child cried.  Pertinent parties present during the incident stated that Staff#1 spoke firmly to the child about being safe when riding a bicycle to avoid hurting him/her or other children; since child crashed the bicycle  extremely hard against the wall. During the incident staff was observed holding the back rest of the bicycle and redirecting the child to another activity as staff explained to the child how crashing the bicycle hard against the wall can seriously hurt his/her body, face and head. Child then was observed walking away with his/her head down to another area, but he/she did not cry. Parent/Legal guardian was informed of the incident. Child is still attending the facility and following safety rules in the playground.
Based on records reviewed and information gathered from the facility it was determined that the facility acted appropriately and no violations were identified. Exit interview was conducted with Geraldine Pineda, Director. A  Notice of Site Visit was given to the facility and must remain posted for 30 days. A copy of this report was provided to the facility and must be made available to the public for three years upon request.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 05/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/18/2022
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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