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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300875
Report Date: 08/28/2025
Date Signed: 08/28/2025 02:16:03 PM

Document Has Been Signed on 08/28/2025 02:16 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:		SHANNON SPENCERFACILITY TYPE:
850
ADDRESS:739 OLIVE AVETELEPHONE:
(619) 249-4328
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 59DATE:
08/28/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Rosa Mendoza, Area Director TIME VISIT/
INSPECTION COMPLETED:
02:20 PM
NARRATIVE
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On August 28, 2025, at 9:30 AM, Licensing Program Analyst (LPA) William Chancellor arrived at Children's Choice Academy- Vista (CCC). LPA was greeted by Director (S1) Coralito Garcia, shortly after arrival Area Director (S2) Rosa Mendoza arrived. A case management visit is being conducted in response an Unusual Incident Report (UIR) being called into Community Care Licensing (CCL) on August 15, 2025. The incident involved a child being left unsupervised in the Frog's 1 class restroom.

During the visit, LPA conducted interviews with three staff (S1- S3) and requested documents relevant to the incident. Two of two staff interviews present on the day of the incident, confirmed that Frog's classroom transitioned outside at approximately 3:30 PM. Child 1 (C1) was located alone in the class restroom at approximately 3:42 PM. This time frame confirms that C1 was unsupervised for approximately twelve minutes.

Based on confidential interviews conducted and records reviewed, the facility is being cited under California Code of Regulations Title 22, Section 101229(a)(1) Absence of Supervision. Please reference 809-D.



This is a second incident within a twelve month period, with the last deficiency being cited on July 9, 2025. Due to a repeat violation, a civil penalty of $1000 is being assessed.

In addition the facility representative shall post and provide copies of the report to parents/guardians of the children currently enrolled by the next business day and any families newly enrolled within the next year.

An exit interview was conducted with area Director Rosa Mendoza. LPA provided copy of this report, including LIC 9099D, LIC 9224, appeal rights, and a Notice of Site Visit was handed to facility representative, Rosa Mendoza.

NAME OF LICENSING PROGRAM MANAGER: Pauline Beschorner
NAME OF LICENSING PROGRAM ANALYST: William M Chancellor Jr.
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 08/28/2025 02:16 PM - It Cannot Be Edited


Created By: William M Chancellor Jr. On 08/28/2025 at 01:27 PM
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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDREN'S CHOICE ACADEMY - VISTA
FACILITY NUMBER: 376300875

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/29/2025
Section Cited
CCR
101229(a)(1)

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(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
This requirement was not met as evidence by....
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Director will email LPA an updated name to face count sheet, where a full walk through section is added, requiring staff inital and time stamp at each transition. Ensuring a full walk through is conducted before transition.
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Based on two of two interviews and records reviewed, C1 was left alone in the class restroom for approximately twelve minutes without supervision. C1 was located when staff passed through the class. Which poses an immediate health, safety and/or personal rights risk to children in care.
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Director will additionally email signed LIC 9224 for all parents enrolled, notifying them of Type A citation.
Due to a repeat violation, $1000 is being assesed.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Pauline Beschorner
NAME OF LICENSING PROGRAM MANAGER:
William M Chancellor Jr.
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/28/2025


LIC809 (FAS) - (06/04)
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