334820503-12-10-2019-10-CC-SBRR-BJQQD4-20191210110406

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334820503
Report Date: 12/10/2019
Date Signed: 12/10/2019 11:04:15 AM

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:	FREEDOM CREST CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	334820503
ADMINISTRATOR:	ANA ROMERO		FACILITY TYPE:	840
ADDRESS:	29282 MENIFEE ROAD		TELEPHONE:	(951) 679-6103
CITY:	MENIFEE	STATE: CA	ZIP CODE:	92584
CAPACITY:	70	CENSUS: 0	DATE:	12/10/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:31 AM
MET WITH:	Site Director Ana Romero		TIME COMPLETED:	11:10 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 12/10/2019 at 8:31 a.m., Licensing Program Analysts (LPA's) Susan Brewer and Sharleen Robinson, arrived at the facility for the purpose of conducing a case management visit. An initial follow-up visit took place on 12/06/2019 and more information was needed, therefore a second visit is being conducted on the UIR, that was received by the licensing agency on 11/13/2019. LPAs learned when the reported incident occurred on or about 11/12/2019 between 2:30 p.m.-3:00 p.m. there were 62 school age children in care under the supervision of 5 staff members. During todays visit 2/10/2019 at 9:03 a.m., During interviews LPAs learned conflicting information, Child #1 refuted the incident. Child #2 reportedly admitted to staff that the incident occurred. Staff #1, stated that on or about 11/12/2019 at approximately 1:30 PM, Child #1 and Child #2 asked to use the restrooms on the playground. Staff #1, stated they were standing immediately outside of the restroom when she heard the children laughing. Staff #1, stated that they were not in the restroom very long. Staff #1, directed the children to exit the restroom if they were done using it and sounded as if they were starting to play. Child #2, exited the restroom and returned to the play activity on the black top area. Child #1, exited the restroom and told Staff #1, that Child #2, touched their buttock and private part, by motioning to the buttock area. Staff #1, immediately contacted the Site Director, to come and investigate the matter further. The self reported incident is regarding a child whose personal rights were allegedly violated by another child, while in care at the facility. LPAs S. Brewer and S. Robinson, interviewed relevant and pertinent individuals, reviewed records and inspected the reported location where the incident took place. There were conflicting statements regarding a child touching another child inappropriately while the children were in care at the facility.

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: FREEDOM CREST CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 334820503
	VISIT DATE: 12/10/2019

NARRATIVE

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A child reportedly stated they playfully touched another child on their buttocks over their clothing while the children were in the restroom washing their hands and they began playing. The other child was unavailable to participate in the interview.

During interviews with other pertinent parties, it was disclosed that a child in care touched another child in care inappropriately. In contrast other pertinent parties stated a child did not touch another child inappropriately while the children were in care at the facility.

There were no eye witnesses to the said incident. LPAs learned that the Director conducted and internal investigation regarding the allegation, the findings are unfounded. See LIC809C for the remainder of the report.

Based on the information obtained during the investigation, LPAs S.Brewer and S Robinson, could not determine if there was a violation of Title 22 Regulations pertaining to the reported incident, at this time. See LIC809C for the remainder of the report.

The Director was reminded per tittle 22 regulations sections:

101223(a)(1) Personal Rights:
The licensee shall ensure that each child is accorded the following personal rights:
To be accorded dignity in his/her personal relationships with staff and other persons.

101229(a)(1) Responsibility for Providing Care and Supervision
The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

The Director Ana Romero, agrees to conduct and in-service meeting to discuss Personal rights, Care and supervision and safety concerns by the due date of January 10, 2019.

An exit interview was held with the Site Director, the report was reviewed and a copy was provided to the Licensee.

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: FREEDOM CREST CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 334820503
	VISIT DATE: 12/10/2019

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 26 27 28 29 30 31 32	A Notice of Site visit was issued, along with a copy of this report and LPAs observed the posting of the Notice to be placed in an area visible to the public. No deficiency cited on 12/10/2019.

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Susan Brewer	TELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

LIC809 (FAS) - (06/04)

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