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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008924
Report Date: 05/20/2024
Date Signed: 05/20/2024 02:50:48 PM


Document Has Been Signed on 05/20/2024 02:50 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:KIDDIE ACADEMY CHILD CARE LEARNING CENTERFACILITY NUMBER:
198008924
ADMINISTRATOR:CARMEN MILLNERFACILITY TYPE:
830
ADDRESS:663 E. FOOTHILL BLVD.TELEPHONE:
(909) 621-5112
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:10CENSUS: 5DATE:
05/20/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Susan StubbsTIME COMPLETED:
03:00 PM
NARRATIVE
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On 5/20/2024 at 2:00 pm an unannounced Case Management – Deficiencies inspection was conducted by Licensing Program Analyst (LPA) Carolyn Tuba who was there to conduct a separate inspection visit and during the course of the investigation a deficiency were discovered. A Covid risk assessment was conducted. LPA took a census of 5 children in care with 2 staff.

During the visit at approximately 10:30 am. LPA was inquiring about clearance of staff that were in the classroom.

LPA found that a staff member was not on the Employee Clearance Report. LPA inquired and found that staff had fingerprinted on December 7, 2022, however due to not submitting required documentation that Guardian requested, the application was closed on March 7, 2023. LPA informed Assistant Director, Susan Stubbs who sent staff to conduct fingerprint clearance. LPA is requesting a copy of the receipt sent via email or via text. LPA informed Assistant Director that the staff may not return until clearance is approved. Assistant Director was under the impression that she had clearance but was unable to provide clearance letter. Staff was currently working in the infant room and has assisted as a driver for the facility. LPA informed Assistant Director that when they receive the yearly facility staff roster, she should check to make sure everyone is accounted for, or she can call the Department for confirmation. Assistant Director is attempting to gain access to Guardian to have access to all clearances and associations.

During this visit a civil penalty was assessed. 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, except as specified in Health and Safety Code section 1596.871, 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 for a
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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDDIE ACADEMY CHILD CARE LEARNING CENTER
FACILITY NUMBER: 198008924
VISIT DATE: 05/20/2024
NARRATIVE
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maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

The following deficiency listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiency that are being cited need to be cleared to protect the children’s health & safety.

One (1) Type A - A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.



A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Assistant Director, Susan Stubbs.
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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/20/2024 02:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754


FACILITY NAME: KIDDIE ACADEMY CHILD CARE LEARNING CENTER
FACILITY NUMBER: 198008924

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/20/2024
Section Cited
CCR
101216(i)(1)

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Personnel Requirements (i)Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall:
(1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations or......
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Staff has been sent home as of today 5/20/2024 and is obtaining new fingerprint Livescan and will return when clearance has been approved by Guardian. Assistant Director will provide a receipt from the fingerprints conducted to LPA via email or text.
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This requirement is not met as evidenced by: Based on record reiew, staff member did not have clearance or active fringerprints on file. This poses an immediate Health and Safety 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: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 05/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2024
LIC809 (FAS) - (06/04)
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