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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334806906
Report Date: 04/29/2020
Date Signed: 04/30/2020 12:46:04 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:PALO VERDE COMMUNITY COLLEGE CHILD DEV. CENTERFACILITY NUMBER:
334806906
ADMINISTRATOR:DANA RETHWISCHFACILITY TYPE:
850
ADDRESS:557 N. LOVEKIN BLVDTELEPHONE:
(760) 922-8714
CITY:BLYTHESTATE: CAZIP CODE:
92225
CAPACITY:60CENSUS: 11DATE:
04/29/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Dana RethwischTIME COMPLETED:
09:37 AM
NARRATIVE
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Due to Covid-19 pandemic, Licensing Program Analyst (LPA) Timeka Reed conducted a telephonic visit to the facility with facility administrator, Dana Rethwisch, for the purposes of conducting a case management inspection via telephone due to the executive order issued by Governor Newsom on March 16, 2020 regarding Covid-19.
On February 5, 2020, Licensing Program Analysts (LPAs) Timeka Reed and Mariah McCarty arrived at the facility for the purposes of conducting a complaint investigation. During the investigation, it was concluded, while lining up to go inside, Child #1 (C1) was continuously pushing themselves against the fencing material on the ramp, when it gave way, causing C1 to fall backwards, through the fence, landing on their back
Interviews with pertinent parties and documentation indicated staff determined first aid was not necessary. According to the “ouch report” dated 01/28/2020 the child was given comfort. Although staff determined medical treatment was not required for C1, the nature of the injury was unusual, and threatened the physical safety of a child in care. In addition, there was law enforcement contact, and repairs needed to the fencing, which also not reported to Community
Care Licensing.
101212(d)(1)(c)
Reporting Requirements
(d) Upon the occurrence, during the operation of the child-care center of any of the events specified in (d)(1) a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information shall be submitted to the Department within seven days following the occurrence of such event.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Timeka ReedTELEPHONE: (951) 970-1161
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: PALO VERDE COMMUNITY COLLEGE CHILD DEV. CENTER
FACILITY NUMBER: 334806906
VISIT DATE: 04/29/2020
NARRATIVE
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(1)( c) Any unusual incident or child absence that threatens the physical or emotional health or
safety of any child.

This requirement was not met as evidenced by: Interviews conducted by LPAs Reed and
McCarty on February 12, 2020 and record review indicate that the facility failed to report that a child had fallen through a fenced railing that later needed to be repaired. The facility also failed to inform the Department that facility staff had contact with law enforcement as a result of an incident that occurred at the facility. This violation poses as a potential health and safety risk to children in care.

A copy of this report was provided and explained to facility Director, Dana Rethwisch
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Timeka ReedTELEPHONE: (951) 970-1161
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2020
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: PALO VERDE COMMUNITY COLLEGE CHILD DEV. CENTER
FACILITY NUMBER: 334806906
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/29/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/01/2020
Section Cited

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Reporting Requirements
(d) Upon the occurrence, during the operation of the child-care center of any of the events specified in (d)(1) a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information
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shall be submitted to the Department within seven days following the occurrence of such event. (1)( c) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement was not met as evidenced by records review and facility representative admission.
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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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Timeka ReedTELEPHONE: (951) 970-1161
LICENSING EVALUATOR SIGNATURE:
DATE: 04/29/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/30/2020
LIC809 (FAS) - (06/04)
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