<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334811267
Report Date: 03/17/2022
Date Signed: 03/17/2022 02:27:35 PM


Document Has Been Signed on 03/17/2022 02:27 PM - 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 STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:LEUSD HEALD ACADEMY CENTER PRESCHOOLFACILITY NUMBER:
334811267
ADMINISTRATOR:ADRIA GALARZAFACILITY TYPE:
850
ADDRESS:601 W. HEALD STREETTELEPHONE:
(951) 253-7660
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY:63CENSUS: 15DATE:
03/17/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:41 PM
MET WITH:Director Steve BeharTIME COMPLETED:
02:37 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
On date and time listed, Licensing Program Analyst (LPA) Jeanette Sanchez arrived at the facility to conduct an unannounced case management visit in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 3/14/22. It indicates that on 3/14/22, a child was left unsupervised in a bathroom.

Site Supervisor Rachel Forkey and Director Steve Behar provided a visual inspection of the bathroom in which the incident occurred. LPA verified that the bathroom door can be unlocked from the inside, that bathroom stall doors remain latched open, and that the bathroom light remains on during operating hours.

Both Ms. Forkey and Mr. Behar informed LPA that common practice is to announce number of children each teacher has with them, to remain in an area in front of stalls that allows visual of all stalls, and to check stalls prior to exit.

A refresher "Active Supervision" training will be provided to all staff via Zoom on Wednesday, 3/23 and Friday, 3/25. Staff directly involved will have one-on-one in person training before the end of the month, as well as a documented meeting with Mr. Behar.

No deficiencies are being cited at this time since the facility immediately addressed the supervision issue and scheduled a re-training of all staff immediately after incident was reported.

An exit interview was conducted, and this report was reviewed with the facility representative Director Steve Behar. Appeal rights were discussed and provided during the exit interview.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Stephanie HudakTELEPHONE: (951) 320-2021
LICENSING EVALUATOR NAME: Jeanette SanchezTELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2022
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 1