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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841174
Report Date: 11/25/2019
Date Signed: 11/25/2019 03:12:49 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:WE KARE DAY CAREFACILITY NUMBER:
334841174
ADMINISTRATOR:ETHERIDGE, CELESTE/RICARDOFACILITY TYPE:
850
ADDRESS:6476 STREETER AVENUETELEPHONE:
(951) 637-7303
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY:46CENSUS: 16DATE:
11/25/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Celeste EtheridgeTIME COMPLETED:
03:30 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) Samuel Lopez arrived at the facility to conduct a case management visit in response to the receipt of an unusual incident report (UIR). The UIR was received by the Riverside Child Care Regional office, by email, on 11/12/2019, and mail on 11/18/19. The UIR documented an incident, that was reported by a parent, that their own child was observed with an injury, upon pick up at the facility, and there was no explanation as to how it may have occurred.

LPA Lopez met with facility Director Celeste Etheridge and informed her the purpose for the visit. LPA reviewed/obtained facility records and conducted interviews.

The following information was gathered/disclosed as a result on the interviews and documents obtained: A parent, upon arrival to the facility to pick up their child, observed the child on the playground and the left side of his body did not look normal. As the parent approached the child, the child did not raise their arms, as usual. The child could not reach for a bottle of water either. As the child was picked up by the parent, the child could not grab onto their parent. The child then began to complain of an injury. While at the parking lot of the facility, the parent returned to the playground, and informed a staff member of the issue with the child’s arm. The staff could not explain how the injury may have happened. However, the staff did mention that the child had fallen on two occasions, on the playground but, both times appeared to be OK.

Although the behavior/incidents were reported the child’s parent and/or legal guardian, they were never reported to the Director Celeste Etheridge, and in turn to the Riverside Child Care Regional office, within the required time frame, as required per Title 22 regulations. Also, the child was observed by the parent, upon arriving for pick up, while playing on the playground, that there was something wrong with their child’s arm but, the facility staff did not.

Based on the information gathered, the facility did not comply with the regulation sections regarding reporting requirements, and the observation of a child.

SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019
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 4
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: WE KARE DAY CARE
FACILITY NUMBER: 334841174
VISIT DATE: 11/25/2019
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
The following violations of Title 22 were identified:

101212(d) Reporting Requirements: A report shall be made to the Department within 24 hours of the occurrence of any unusual incident as specified.

101226.3(a) Observation of the Child: The behavior and health of the children shall be continually observed throughout the period of attendance.

See LIC 809-D for citation regarding reporting requirements

Appeal rights were explained to Director Celeste Etheridge. A copy of the appeal rights (LIC9058) was provided and the signature on this report acknowledges receipt of those rights.

An exit interview was conducted with Director Celeste Etheridge. Also, a Notice of Site Visit, which must be posted for 30 days, along with a copy of this report was provided to Director Celeste Etheridge.

A copy of this report must be made available to the public, at the facility site, for 3 years.

SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: WE KARE DAY CARE
FACILITY NUMBER: 334841174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/25/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/26/2019
Section Cited

1
2
3
4
5
6
7
Observation of the Child - The behavior and health of the children shall be continually observed throughout the period of attendance. This requirement was not being met as evidenced by a child falling on the playground, on two occasions, on the same day. Soon after, the parent arrived to pick up their child and observed that their child could not move
8
9
10
11
12
13
14
their arm. It was discovered that the child had a dislocated elbow. This poses an immediate risk to the Health and Safety of the children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
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: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:
DATE: 11/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/25/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: WE KARE DAY CARE
FACILITY NUMBER: 334841174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/25/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/06/2019
Section Cited

1
2
3
4
5
6
7
Reporting Requirements - A report shall be made to the Department within 24 hours of the occurrence of any unusual incident as specified. This requirement is not met as evidenced by the information obtained that a staff was informed, by a parent, that their child had an injured arm, but the staff did not relay the information to the facility Director,
8
9
10
11
12
13
14
in order to report it to the Riverside Child Care Regional Office. The incident occurred on 11/4/19 and reported on 11/12/19. This poses a potential Health and Safety risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
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: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel LopezTELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:
DATE: 11/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/25/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4