334808715-8-26-2021-09-CC-RZEN-C69SR9-20210826140555

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334808715
Report Date: 08/26/2021
Date Signed: 08/26/2021 02:06:02 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:	KCE CHAMPIONS LLC @ ALCOTT ELEMENTARY SCHOOL		FACILITY NUMBER:	334808715
ADMINISTRATOR:	ROXANNE SCHMIDT		FACILITY TYPE:	840
ADDRESS:	2433 CENTRAL AVENUE		TELEPHONE:	(951) 782-7446
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92506
CAPACITY:	35	CENSUS: 0	DATE:	08/26/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Roxanne Schmidt - Director		TIME COMPLETED:	02:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Rachel Zeron conducted a Licensee initiated Case Management visit/inspection. LPA Zeron met with Director Roxanne Schmidt. The area manager has requested to use Portable classroom # K3 permanently for school age care. Facility will no longer use portable classroom #37. There are no changes to the capacity. LPA inspected portable classroom # K3, it is equipped with age appropriate furniture and the equipment is in good condition. The floors were clean and safe, the room was clean and free of hazards. Hazards are stored where inaccessible to children which includes: disinfectants, cleaning solutions and other items that are dangerous to children. Storage areas for poisons and toxins are locked. No medications are stored in this classroom. The facility has a functioning carbon monoxide detector. Water containers and cups and water bottles will supply drinking water to children. Portable classroom #3 is in substantial compliance. Limiting factor for School age capacity is the fire clearance that was granted on August 10, 2021 for the requested capacity of 35 school age children. School-age Bathroom Fixtures Facility is located on a functioning school ground and is exempt from toilet requirements per Health and Safety Code 1596.806(a)(1) and (d) at this time. Children will be using the students' restrooms on campus. There are also two restrooms located next door to the kinder building outside of the classroom, the boy’s bathroom has 1 toilet and 1 sink, the girls bathroom has 1 toilet and 1 sink. The school restrooms can accommodate 35 school age children. School-Age Outdoor Activity Area: Facility is located on school ground and is exempt from outdoor square footage requirements per Health and Safety Code 1596.806(b)(1) and (d) at this time. See LIC809C for the remainder of the report>>>>>>>>>>>>>>>>>>>>>>>>

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021

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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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: KCE CHAMPIONS LLC @ ALCOTT ELEMENTARY SCHOOL	FACILITY NUMBER: 334808715
	VISIT DATE: 08/26/2021

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Room K3 is approved for use effective 08/26/2021.

An exit interview was conducted and during the interview, the director, Roxanne Schmidt confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS ALONG.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021

LIC809 (FAS) - (06/04)

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