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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701313
Report Date: 03/27/2023
Date Signed: 03/27/2023 12:52:06 PM

Document Has Been Signed on 03/27/2023 12:52 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:EES VISTA INNOVATION EARLY EDUCATION CENTERFACILITY NUMBER:
376701313
ADMINISTRATOR:COURTNEY GAYFACILITY TYPE:
850
ADDRESS:836 OLIVE AVENUETELEPHONE:
(760) 726-2170
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 38DATE:
03/27/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:51 AM
MET WITH:Melissa DuffyTIME COMPLETED:
01:00 PM
NARRATIVE
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On March 27, 2023 at 11:51 am, Licensing Program Analysts (LPAs) Jessica Rubio and Keely Messerschmidt arrived unannounced to the facility to conduct a case management visit due to an unusual incident report (UIR) received for an incident that occurred on 2/24/2023, involving child (C1) being left alone in the bathroom located in the hall outside the classroom. LPAs met with Director (AD) Melissa Duffy and informed her of the reason for the visit. During the visit, LPAs conducted interviews with AD and one staff (S2) who found C1 alone in the restroom. The UIR and Interviews revealed S1 took C1 and other children to the bathroom and then S1 returned to the class with all children except C1. Interview revealed C1 was left alone in the bathroom for approximately 3-5 minutes before another staff, S2 entered the restroom and found C1. LPAs determined the facility is in violation of Title 22 Regulation Section 101229 (a)(1) Responsibility for Providing Care and Supervision. A citation will be issued.

An exit interview was conducted, a copy of this report, LIC 811 (Confidential Names List) and appeal rights were reviewed with and provided to Director Melissa Duffy. A notice of site visit will be provided and must remain posted for 30 days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2023
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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Document Has Been Signed on 03/27/2023 12:52 PM - It Cannot Be Edited


Created By: Jessica M Rubio On 03/27/2023 at 12:33 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: EES VISTA INNOVATION EARLY EDUCATION CENTER
FACILITY NUMBER: 376701313

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/28/2023
Section Cited
CCR
101229

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Responsibility for Providing Care and Supervision (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...Supervision shall include visual observation. This requirement was not met as evidenced by:
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Facility has let go of S1 and Director has reviewed the tracking policy for children with the staff. Director has also began random tracking checks in classrooms and bathrooms.
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C1 being left without supervision in the restroom, which poses a potential health, safety or personal rigths risk to children 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:Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:
DATE: 03/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2023


LIC809 (FAS) - (06/04)
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