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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300875
Report Date: 06/07/2024
Date Signed: 06/07/2024 03:10:12 PM

Document Has Been Signed on 06/07/2024 03:10 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S CHOICE ACADEMY - VISTAFACILITY NUMBER:
376300875
ADMINISTRATOR/
DIRECTOR:
JENNI GRAWVUNDERFACILITY TYPE:
850
ADDRESS:739 OLIVE AVETELEPHONE:
(619) 249-4328
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 25DATE:
06/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:10 PM
MET WITH:Jenni Grawvunder, VP of OperationsTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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On date and time listed, Licensing Program Analyst (LPA) William Chancellor arrived unannounced to Children's Choice Academy (CCC) to conduct a Case Management Visit in response to an Unusual Incident Report (UIR) received by Community Care Licensing (CCL) on June 4, 2024. The incident involved a child being restrained due to behaviors by a Applied Behavior Analysis (ABA) therapist.

Documents relevant to the UIR were provided and confidential interviews were conducted with Interim Director and two staff.

LPA has determined that the facility acted appropriately, and no violations have been cited. Parents were notified at pick up, facility documented a UIR to CCL and the volunteer therapist no longer provides services at the CCC. LPA has determined this to be a random isolated incident where the child was inappropriately restrained due to behavior concerns. No other incidents have occurred involving this therapist prior to this incident. Parent of C1 immediately took action to remove this therapist from the case.

Based on the information gathered, there appears to be no violations of Title 22 Regulations found at this time, and therefore, there were no deficiencies cited during this inspection. A technical violation will be given.

An exit interview was conducted, and a copy of this report was provided to Interim Director Jenni Grawvunder. A Notice of Site Visit must be posted for 30 consecutive days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024
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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