334819247-2-12-2025-10-CC-JGAR-DDTNDS-20250212092250

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334819247
Report Date: 02/12/2025
Date Signed: 02/12/2025 09:23:01 AM

Document Has Been Signed on 02/12/2025 09:23 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	DSUSD ADAMS EARLY CHILDHOOD LEARING CENTER		FACILITY NUMBER:	334819247
ADMINISTRATOR/ DIRECTOR:	RALLION, JAY		FACILITY TYPE:	850
ADDRESS:	50-800 DESERT CLUB DRIVE		TELEPHONE:	(760) 771-8675
CITY:	LA QUINTA	STATE: CA	ZIP CODE:	92253
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 0	CENSUS:	DATE:	02/12/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:51 AM
MET WITH:	Maria Moore, Principal		TIME VISIT/ INSPECTION COMPLETED:	09:45 AM

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 Thursday, February 12, 2025 Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced Case Management inspection to follow-up on an Unusual Incident Report (UIR) submitted to Community Care Licensing CCL on December 18, 2024. LPA met with Principal Maria Moore and toured the facility. LPA had previously interviewed the director, four staff members, Child 1 (C1), a parent, and reviewed documentation during this investigation. On December 18, 2024, CCL received information via UIR that on December 11, 2024, C1 told their parent that Staff 1 (S1) had put their face down in the restroom. Through LPA’s investigation, it was determined through record review, and interview, that 2 staff including S1, were in the classroom on the day of incident. 2 of 2 staff denied any incident that would be detrimental to C1 including putting their face down in the restroom, or otherwise, in the toilet. Interview with Parent (P1) stated that upon pick up, C1’s clothes were not the clothes they arrived at the day care in. P1 stated that the clothes were wet and needed to be washed upon reaching their home. Interview with S1 stated that C1’s clothes were not wet on the day of the alleged incident, and therefore, C1 was not needed to be changed. S1 relayed that C1 at times, needs assistance getting themselves correctly onto the toilet. According to S1, this was the case on the day of the alleged incident. S1 relayed that while assisting C1 in the restroom, S1 took hold of C1 under their armpits and went to lift C1 up onto the toilet to assist C1 with proper placement. While doing this, S1 briefly lost their balance, but caught themselves on the wall of the stall before they fell into C1. This action did; however, slightly make C1 not correctly position themselves on the toilet properly. S1 did state; however, that C1 told S1 that the incident hurt C1. Continued on LIC 809C

Deborah Mullen	TELEPHONE: (951) 505-6334
Jesse Gardner	TELEPHONE: (951) 204-4913
	DATE: 02/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025

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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: DSUSD ADAMS EARLY CHILDHOOD LEARING CENTER	FACILITY NUMBER: 334819247
	VISIT DATE: 02/12/2025

NARRATIVE

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S1 stated that no body part of C1’s was in the toilet; however. S1 readjusted themselves and was able to place C1 correctly onto the toilet. The other staff who was in the room while this incident occurred stated they did not see or hear anything as they were supervising the children in the classroom. Interview with C1 was difficult; as C1 had problems keeping focused on the interview. C1 did; however, recall the incident, and stated they were not injured, but concurred that something happened in the restroom. At the time of this investigation, there were no other witnesses or evidence to corroborate a violation of Title 22.

In addition, the incident was reported to CCL and documentation was observed in the child’s file and their parent(s) were notified. Records review also confirmed that the CCC was operating within proper staff to child ratios.

Based on information gathered, the CCC acted appropriately, and no violations of Title 22 have been identified.

An exit interview was held with Principal Maria Morre. A copy of this report was issued, along with a Notice of Site visit. This report shall be public record for three years.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Jesse Gardner	TELEPHONE: (951) 204-4913
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025

LIC809 (FAS) - (06/04)

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