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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 330900323
Report Date: 10/19/2021
Date Signed: 10/19/2021 11:13:24 AM

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 UNITED METHODIST CHURCH PRESCHOOLFACILITY NUMBER:
330900323
ADMINISTRATOR:KAREN WILSONFACILITY TYPE:
850
ADDRESS:4845 BROCKTONTELEPHONE:
(951) 683-4500
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY:78CENSUS: 45DATE:
10/19/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Director Karen WilsonTIME COMPLETED:
11:30 AM
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On 10/19/2021 at 10:50am, Licensing Program Analyst (LPA) Destinee Hogue conducted a case management inspection with Director, Karen Wilson. A case management inspection is being conducted in response to the receipt of an unusual incident report (UIR) received from the facility. The UIR was received by the licensing agency on 09/02/2021. On 09/09/2021, an inspection was conducted by LPA Hogue. During the inspection on 09/09/2021, LPA interviewed staff and children, reviewed facility records, and conducted facility observations. During this inspection, LPA Hogue toured the facility inside and outside, took census of preschool children present on this date, verified facility associations, and discussed the following with Director, Karen Wilson.

On or about September 2, 2021, Director Karen Wilson received a phone call from a child's authorized representative stating their child(ren) disclosed another child(ren) placed their hands down his/her pants on more than one occasion. Ms. Wilson reported this allegedly occurred during recess after snack time (approximately between 11:00am - 11:30am) by the monkey bars, on unknown dates.

LPA Hogue interviewed pertinent parties and gathered the following information. There is conflicting information on who allegedly touched the child(ren) in question and whether the child(ren) was touched inside or outside his/her pants. According to interviews with staff, the child(ren) in question did not disclose being touched inappropriately by another child(ren). According to staff and LPA Hogue's observations, there is approximately 10 staff members present during outdoor play time. Allegedly the incident occurred at the monkey bars, however there is a staff member supervising the monkey bars at all times, and staff members did not observe the alleged child(ren) inappropriately touching another child(ren) in care.

Based on information gathered, there appears to be no violations of Title 22 Regulations found at this time. An exit interview was conducted and a copy of this report was provided to Director Karen Wilson.

No deficiencies were cited during this inspection and a Notice of Site Visit was issued and shall remain posted for 30 days.

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021
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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