<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846188
Report Date: 05/05/2022
Date Signed: 05/05/2022 11:27:15 AM

Document Has Been Signed on 05/05/2022 11:27 AM - 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:KIDDIE ACADEMY OF RANCHO CUCAMONGAFACILITY NUMBER:
364846188
ADMINISTRATOR:HEATHER JENKINSFACILITY TYPE:
850
ADDRESS:7220 VICTORIA PARK LANETELEPHONE:
(909) 891-8700
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91739
CAPACITY: 127TOTAL ENROLLED CHILDREN: 127CENSUS: 65DATE:
05/05/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Ashlee Stuehrmann/Interim Director TIME COMPLETED:
12:31 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 5/5/22 at 10:15 am, Licensing Program Analyst (LPA) Patricia Berry was touring the facility for a complaint investigation, LPA discovered during the tour in one of the preschool classrooms there was a full bleach bottle on the changing table where the children's diapers are changed, accessible to the children. LPA observed the children were not in the classroom when LPA observed the bleach bottle, the children were on the playground. Staff was not ware the bleach bottle was on the changing table. LPA observed the classroom not clean or sanitary; LPA observed a dirty trash can with the lid partially open with food to the top of the trash can, dirty carpets, dirty tables, dirty throw pillows, etc.

According to regulation 101238 Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors and (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

See 809D for deficiencies.


Exit interview conducted with interim director, report, appeal rights, notice of site visit and acknowledgement of receipt provided to the interim director.

Notice of site visit must be posted for 30 days.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 05/05/2022 11:27 AM - It Cannot Be Edited


Created By: Patricia Berry On 05/05/2022 at 10:43 AM
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: KIDDIE ACADEMY OF RANCHO CUCAMONGA
FACILITY NUMBER: 364846188

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/06/2022
Section Cited
CCR
101238(a)

1
2
3
4
5
6
7
Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors
This requirement was not met as evidenced by
1
2
3
4
5
6
7
Interim director stated she will rent a carpet cleaner, replace carpets if necessary and train staff on the building and grounds (a) regulation. Interim director stated she will send CCL a list of the participants and the topics of the training by 5/6/22.
8
9
10
11
12
13
14
Based on LPA's observation the classroom was not clean or sanitary.

This is an immediate risk to the health and safety of children in care
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Gilbert Sena
LICENSING EVALUATOR NAME:Patricia Berry
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 05/05/2022 11:27 AM - It Cannot Be Edited


Created By: Patricia Berry On 05/05/2022 at 10:47 AM
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: KIDDIE ACADEMY OF RANCHO CUCAMONGA
FACILITY NUMBER: 364846188

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/06/2022
Section Cited
CCR
101238(g)

1
2
3
4
5
6
7
 Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.
This requirement was not met as evidenced by
1
2
3
4
5
6
7
Interim Director stated she will train staff on buidling and grounds (g) and will send me a list of the participants and the topics of the training by 5/6/22.
8
9
10
11
12
13
14
Based on LPA's observation a full bleach bottle was left on the changing table where children's diapers are changed. Children were not in the classroom at the time when LPA observed the bleach bottle.
This is a potential risk to the health and safety of children in care
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Gilbert Sena
LICENSING EVALUATOR NAME:Patricia Berry
LICENSING EVALUATOR SIGNATURE:
DATE: 05/05/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/05/2022


LIC809 (FAS) - (06/04)
Page: 3 of 3