334802158-2-23-2022-09-CC-GCAO-CBWPLA-20220223102426

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334802158
Report Date: 02/23/2022
Date Signed: 02/23/2022 10:24:29 AM

Document Has Been Signed on 02/23/2022 10:24 AM - 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	RCOE - HOME GARDENS HEADSTART		FACILITY NUMBER:	334802158
ADMINISTRATOR:	BARBARA ESTHER		FACILITY TYPE:	850
ADDRESS:	13550 TOLTON AVENUE		TELEPHONE:	(951) 549-8492
CITY:	CORONA	STATE: CA	ZIP CODE:	92879
CAPACITY:	34	CENSUS: 23	DATE:	02/23/2022
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	07:30 AM
MET WITH:	Barbara Esther		TIME COMPLETED:	10:30 AM

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A case management visit is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 02/10/2022. It indicates a child touched another child inappropriately on 02/08/22.

Facility records were reviewed, and interviews were conducted with Children (C1-C4) and staff (S1-S4). According to staff interviews there are 2-3 teachers minimum for supervision and children are not left alone. Children interviews identified teachers supervise bathroom calls and the classroom. All 4 children interviewed denied inappropriate touching by other children. Staff and children interviews did identify C2 as someone who sometimes takes toys, hits others on shoulder or knees but does not always understand and has speech delay.

Based on information gathered, the facility acted appropriately and no violations have been identified. Facility reported timely to both California Department of Social Services (CDSS) and CPS. Facility provided direct supervison for indoor and outdoor activities with minimum 2-3 staff; met with Parent to discuss concern; provided alternate activities, 1-1 assistance to C2 as needed.

An exit interview was conducted and a copy of this report was provided to facility staff.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 02/23/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022

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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