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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376300876
Report Date: 12/20/2024
Date Signed: 12/20/2024 03:15:11 PM

Document Has Been Signed on 12/20/2024 03:15 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:
376300876
ADMINISTRATOR/
DIRECTOR:		JENNI GRAWVUNDERFACILITY TYPE:
830
ADDRESS:739 OLIVE AVETELEPHONE:
(619) 249-4328
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 21DATE:
12/20/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:46 PM
MET WITH:Erica Webb, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On December 20, 2024, at 2:45PM, Licensing Program Analyst (LPA), William Chancellor arrived unannounced to Children’s Choice Academy- Vista (CCC) and met with Director (DIR) Erica Webb. The reason for conducting a case management visit to address an issue separate from complaint investigation (Complaint Control Number 10-CC-20241018092403).

During the complaint investigation, three of three staff interviews, corroborated that staff allowed infant aged children, including Child 1 (C1), to go down face first on the playground slide. Records revealed that on October 14, 2024, the date of the incident, C1 injuries were a result of going down the slide face first. While the original complaint allegation stated that C1’s injury was a result of lack of supervision, it was later corroborated that staff allowed the Elephant 1 classroom, consisting of children between the ages of one to two years old, to go down a slide, which is not developmentally appropriate.

Based on interviews and record review, a deficiency is being cited under California Code of Regulations Title 22, Section 101223(a)(2): Personal Rights. See 809-D for cited deficiencies.

An exit interview was conducted, a copy of this report, along with appeal rights, and a Notice of Site Visit was provided to Director, Erica Webb. The Notice of Site Visit must remain posted for 30 consecutive days in a prominent place, visible to families and caregivers.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2024
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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Document Has Been Signed on 12/20/2024 03:15 PM - It Cannot Be Edited


Created By: William M Chancellor Jr. On 12/20/2024 at 02:55 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: 376300876

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/20/2024
Section Cited
CCR
101223(a)(2)

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Personal Rights:
(a) The licensee shall ensure that each child is accorded the following personal rights:
(2) To be accorded safe, healthful, and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement was not met as evidenced by:
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On 12/20/24, Director provided a playground safety training for all staff, including policy confirming that children should never go down a slide face first and always on their bottom. Director provided of staff sign in for all staff who attended training.
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Based on interviews and records reviewed, it was revealed that staff allowed infant aged children to go down a slide face first. This is not a safe or developmentally appropriate activity for infant aged children. This poses a potential health, safety, or personal rights risk to persons in care.
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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.
SUPERVISOR'S NAME:Pauline Beschorner
LICENSING EVALUATOR NAME:William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2024


LIC809 (FAS) - (06/04)
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