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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 330900318
Report Date: 09/18/2019
Date Signed: 11/15/2019 05:14:13 PM

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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:FIRST CHRISTIAN CHURCH PRESCHOOLFACILITY NUMBER:
330900318
ADMINISTRATOR:LISA VILLAFACILITY TYPE:
850
ADDRESS:4055 JURUPA AVENUETELEPHONE:
(951) 683-5780
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY:50CENSUS: 31DATE:
09/18/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Lisa Villa, Director TIME COMPLETED:
10:30 AM
NARRATIVE
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Licensing Program Analyst (LPA) Sharleen Robinson arrived at the facility, for the purpose of conducting a subsequent case management follow-up visit; regarding an unusual incident report that was submitted by the facility on August 30, 2019. LPA met with Director Lisa Villa to discuss the reported incident. There were 31 children in care. LPA conducted interviews, toured the facility and discussed the findings.

The self reported incident is regarding a child whose personal rights were allegedly violated by another child, while in care at the facility. LPA Robinson interviewed relevant and pertinent individuals, reviewed video camera footage and reviewed records.

There were conflicting statements regarding a child touching another child inappropriately while the children were in care at the facility. A child stated they accidentally touched another child on their buttocks over their clothing while the children were in the restroom washing their hands. The other child was unavailable to participate in the interview.

During interviews with other pertinent parties, it was disclosed that a child in care touched another child in care inappropriately. In contrast other pertinent parties stated a child did not touch another child inappropriately while the children were in care at the facility.

There were no eye witnesses to the said incident. LPA learned that the Director conducted and internal investigation regarding the allegation, the findings are unfounded.

Based on the information obtained during the investigation, LPA Robinson could not determine if there was a violation of Title 22 Regulations pertaining to the reported incident, at this time. See LIC809C for the remainder of the report.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 233-7183
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: FIRST CHRISTIAN CHURCH PRESCHOOL
FACILITY NUMBER: 330900318
VISIT DATE: 09/18/2019
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The Director was reminded per tittle 22 regulations sections:

101223(a)(1) Personal Rights:
The licensee shall ensure that each child is accorded the following personal rights:
To be accorded dignity in his/her personal relationships with staff and other persons.

101229(a)(1) Responsibility for Providing Care and Supervision
The licensee shall provide care and supervision as necessary to meet the children's needs. 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.

The Director agrees to conduct and in-service meeting to discuss Personal rights, Care and supervision and safety concerns by the due date of September 11, 2019.

An exit interview was held with Director Lisa Vila. A Notice of Site visit was issued, along with a copy of this report. No deficiency cited at this time.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 233-7183
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
LIC809 (FAS) - (06/04)
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