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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300744
Report Date: 04/18/2023
Date Signed: 04/18/2023 02:45:44 PM

Document Has Been Signed on 04/18/2023 02:45 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S CHOICE ACADEMY-SCHOOL AGEFACILITY NUMBER:
376300744
ADMINISTRATOR:GRAWVUNDER,JENNIFACILITY TYPE:
840
ADDRESS:2355 E VALLEY PARKWAY, #20TELEPHONE:
(619) 733-9018
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
04/18/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Jennifer HouseTIME COMPLETED:
02:50 PM
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Licensing Program Analyst (LPA), Ana Noble and Deborah Mullen Licensing Program Manager conducted a pre-licensing inspection this date for a proposed combination center Preschool, Infant and School Age. The days and hours of operation will be: Monday - Friday 6:00 am - 6:00 pm. LPA met with Jennifer House, Applicant, who led a tour of the facility at 10:05 AM.

The facility was toured inside and out, and the following was observed:
· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Water dispenser will supply drinking water in the indoor activity space with disposable cups.
· Playground is enclosed by a chain link fence.
· Outdoor activity area is supplied with age and size appropriate equipment
· There are no accessible bodies of water present. If wading pools or similar products are used, they must be emptied immediately after use and stored in an upright position.
· An adequate amount of cushioning material wood chips/mulch is in place under play equipment
· There is not adequate shade playground..
· Drinking water is provided in the outdoor play area by water dispenser and disposable cups.
· Food preparation area is equipped with refrigerator, sink with hot and cold running water, storage area, utensils, and adequate amount of food supplies
· The office area is located near the entrance in Suite G/H in the Preschool/Infant suite.
· Director's office will serve as the isolation area for ill children temporarily until parents arrive
· There is a working telephone located in the facility.
· Medication will be stored in the Director's office which is inaccessible to children
· Storage area for toxins and poisons is locked, in a cabinet located in open storage area by the staff restroom.
· Medication administration forms were reviewed
· First Aid kit is complete.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2023
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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDREN'S CHOICE ACADEMY-SCHOOL AGE
FACILITY NUMBER: 376300744
VISIT DATE: 04/18/2023
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· Sign in/Sign out record was reviewed and meets regulation requirements
· Parent Board located in wall immediately upon entering the facility with all required forms.
· Carbon Monoxide Detector located in the kitchen above the door way.

Measurements were taken and the following was determined:

Indoor School Age Areas-
LPA has determined that there is sufficient space to accommodate 33 children.

Bathroom Fixtures
3 toilets x 15 = 45 children
3 sinks x 15 = 45 children

Outdoor Activity Area:
LPA has determined that there is sufficient space to accommodate 16 children.
A waiver for sharing playground/outdoor activity space is pending approval for schedule outdoor time.

Limiting factor for School Age capacity is the requested capacity. Fire Clearance granted on 3/24/2023.
School Age capacity is limited to 30 children.

During the inspection, the following was reviewed with Facility Representative/Designee:
· Component II Orientation was completed
· The applicant was informed of their reporting requirements and provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO10@dss.ca.gov
· The importance of checking for recalled infant (children) devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant (children) devices with the CPSC to be notified of any recalls on their purchased equipment.

· Provider Information Notice (PIN) 22-20-CCP: Resources and Requirements on Lead Testing in Child Care

· LPA reviewed Incidental Medical Services (IMS). For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department if the facility will provide the services.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023
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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDREN'S CHOICE ACADEMY-SCHOOL AGE
FACILITY NUMBER: 376300744
VISIT DATE: 04/18/2023
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The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
· The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:
1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200.

Facility representative/designee Jennifer House, Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A review of staff records on indicates that the applicant and/or designated individual who is required to have caregiver background checks have received criminal record and child abuse index clearances or exemptions. The applicant can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations858@dss.ca.gov

LPA discussed the safe sleep regulations with facility representative/designee Jennifer House and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also inform Jennifer House, licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA reviewed with Facility representative/Designee the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDREN'S CHOICE ACADEMY-SCHOOL AGE
FACILITY NUMBER: 376300744
VISIT DATE: 04/18/2023
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To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.


The following items need to be completed/corrected prior to a license being issued:

1. Repair the broken door on storage cabinet located in the back of the classroom. Submit picture as proof of correction.
2. Plan that will be implemented to ensure boys and girls do not use restroom at the same time.
3. Submit letter of permission for the 2 relocation listed on emergency/disaster plan.
4. Submit documents as proof of close of escrow.
5. Waiver request for schedule time for playground use for 16 children.
6. Shade structure in playground, submit picture.

Once all corrections have been made, with proof sent to licensing, the application will be submitted for approval with a maximum capacity of 30 children. As agreed upon by Jennifer House, Applicant, all corrections are due within 30 days. If not received within 30 days from the date of this report, the application will be denied.

If all corrections are approved and facility licensed, you must have the drinking water outlets used for drinking and cooking tested for lead and post the results within 180 days of licensure.

Exit interview conducted and report was reviewed with Jennifer House.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Ana Noble
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023
LIC809 (FAS) - (06/04)
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