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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334830482
Report Date: 02/01/2024
Date Signed: 02/01/2024 01:09:42 PM


Document Has Been Signed on 02/01/2024 01:09 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:CHILDRENS LIGHTHOUSE OF RIVERSIDE, CAFACILITY NUMBER:
334830482
ADMINISTRATOR:BONNIE ACOSTAFACILITY TYPE:
840
ADDRESS:19743 LURIN AVENUETELEPHONE:
(951) 653-6688
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY:30CENSUS: 0DATE:
02/01/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Director Bonnie AcostaTIME COMPLETED:
01:10 PM
NARRATIVE
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On 02/01/2024 at 11:10 AM Licensing Program Analyst (LPA) Susan Brewer, conducted a Case Management Inspection, due to deficiencies found during another inspection. The LPA was greeted by Director Bonnie Acosta and granted entry to tour the facility. LPA took a census of children in care. The following was discussed:

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



On 11/06/2023, during a review of facility files, LPA obtained a statement written by a daycare child. In the statement, a subject child describes witnessing a subject staff, yell at another daycare child, causing both children to be upset and to cry. The Director confirmed their knowledge of the reported incident and the written statement submitted by the daycare child. Follow-up investigation conducted through interviews with pertinent parties revealed the Director and Assistant Director were notified on previous occasions children felt uncomfortable at the daycare, due the staff yelling.

The Director confirmed that a meeting was held to address the concerns and stated it was a misunderstanding. However, LPA interviews conducted with pertinent parties indicated incidents of yelling continued to occur after the meeting was concluded and the matter was not resolved.

See 809D for a Type A violation.

LPA Susan Brewer informed Director Bonnie Acosta that this report dated 02/01/2024 documents 101223(a)(1) Personal Rights, Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

***********Continued on LIC809C*********

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2024
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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Document Has Been Signed on 02/01/2024 01:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA

FACILITY NUMBER: 334830482

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/02/2024
Section Cited
CCR
101223(a)(1)

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101223(a)(1) Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.
This regulation was not met as evidenced by:
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The director agrees to provide training to staff regarding101223(a)(1) Personal Rights, and provide proof of staff attendance, participation and a copy of the training curriculum to include: how the licensee developed and implemented a plan of action to ensure the regulation is met.
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Based on LPA record review & interviews, it was determined a daycare child submitted verbal & written statements to the licensee that a staff yell at daycare children, causing children to cry & creating an uncomfortable environment, which posed an immediate risk to the health & safety of children in care.
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Per director, they agree to submit the plan and training curriculum by 02/02/2024.
The licensee also agrees to submit the proof of staff participation in training on or before 02/19/2024, to the department by fax, mail or e-mail.

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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: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDRENS LIGHTHOUSE OF RIVERSIDE, CA
FACILITY NUMBER: 334830482
VISIT DATE: 02/01/2024
NARRATIVE
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Also, LPA Susan Brewer, informed the Director Bonnie Acosta, to provide a copy of this licensing report dated 02/01/2024, that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report LIC 9224, or other written statement, must be placed in the child's file for verification.

No civil penalty was issued.



Notice of Site Visit was given and must remain posted for 30 days.

An exit interview was conducted, and a copy of this report was provided to the Director Bonnie Acosta.

THIS REPORT MUST BE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THREE YEARS.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
LIC809 (FAS) - (06/04)
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