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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334844379
Report Date: 08/15/2022
Date Signed: 08/15/2022 02:15:34 PM


Document Has Been Signed on 08/15/2022 02:15 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:BROUWERS FAMILY CHILD CAREFACILITY NUMBER:
334844379
ADMINISTRATOR:BRONWYN BROUWERSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 207-3675
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY:14CENSUS: 6DATE:
08/15/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Staff 1 - David Cox & Bronwyn Brouwers, LicenseeTIME COMPLETED:
02:25 PM
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On 08/15/2022 at 10:10 AM Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct an annual inspection. LPA was greeted by Staff 1 (S1) – David Cox and granted entry to tour the facility, inside and out. LPA conducted a COVID19 prescreening and no concerns stated by S1 at this time. LPA reviewed records and observed and/or discussed the following: Per S1, the licensee Bronwyn Brouwers, was away from the facility and due to return in 45 minutes. The facility was operating with Staff 1 and Staff 2 supervising daycare children. At approximately 11:15 AM, the Licensee Bronwyn Brouwers arrived at the facility and lead the tour.

Normal days and hours of operation are Monday- Friday, 8:00 AM to 5:00 PM
OFF-LIMIT AREAS INCLUDE: The Garage and Entire 2nd Floor; Outdoors: Pool Area, Trampoline and Skateboard Ramp.

The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D.

· The facility is operating within the licensed capacity and appropriate ratios. LPA took a census of 6 children in care and supervised by 2 staff in the absence of the Licensee Bronwyn Brouwers.
· The Licensee is present in the home and has ensured that children in care are supervised.
· When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children. LPA observed 2 Staff present to supervise children.
· A working telephone is present by land-line and cell phone.
· Appropriate fire extinguisher tagged by Fire Department 07/20/2022, smoke detector and carbon monoxide detector are present and were tested by the Staff 1, during this inspection.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2022
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: BROUWERS FAMILY CHILD CARE
FACILITY NUMBER: 334844379
VISIT DATE: 08/15/2022
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· All hazardous items are inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children on 08/15/2022.
· Storage of poisons is inaccessible to children and locked on 08/15/2022.
· There is a properly barricaded fireplace on 08/15/2022.
· No guns or weapons present as stated by Staff 1. Licensee Bronwyn Brouwers understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 regulations.
· Stairs are barricaded on 08/15/2022.
· Home is clean and orderly, with heating and ventilation for safety and comfort on 08/15/2022.
· Safe and appropriate toys and equipment are present for both indoor and outdoor activities.
· Outdoor play areas are fenced and/or appropriate supervision is present on 08/15/2022. The outdoor play area has a trampoline and
· Verification of control of property on file by Grant Deed dated 02/16/2016.
· Pediatric CPR and First Aid training completed on 02/27/2021; card expires on 02/2023.
· Health & Safety Certificate - completed on 07/19/17, Nutrition completed 11/22/2021,
· Mandated reporter: General: NOT ON FILE; AB1207 Child Care Expired 04/2022 for the Licensee.
· Fire clearance: 08/02/2017
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 03/22/2022 fire at 10:20 AM, with 8 children present checked by sign in sheet.
· There ARE bodies of water reported to be present at the facility. The licensee Bronwyn Brouwers is currently installing a new underground pool, that is not filled with water. A case management inspection was conducted on 04/13/2022 for the wrought iron fencing and self-closing gates. On 08/15/2022 the fencing and self-closing gates were re-inspected and were found to be in compliance with Title 22 regulations. understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Clean, safe and age appropriate toys on 08/15/2022.
· Children’s files are complete on 08/15/2022.
· Staff 1’s files are complete: CPR Exp. 06/2024, 1st Aid Exp. 07/2024; Mandated Reporter AB1207 completed 06/5/2022 exp. 06/2024, General Training completed, exam pending,
· Staff 2’s files are NOT complete: Mandated Reporter AB1207 not on file.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: BROUWERS FAMILY CHILD CARE
FACILITY NUMBER: 334844379
VISIT DATE: 08/15/2022
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To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Licensee Bronwyn Brouers, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA Susan Brewer, discussed the safe sleep regulations, forms and the logs to be maintained with licensee Bronwyn Brouers and Staff 2, and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: BROUWERS FAMILY CHILD CARE
FACILITY NUMBER: 334844379
VISIT DATE: 08/15/2022
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For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

See LIC809D for Type B citation for Mandated Reporter Training.

No civil penalties issued on 08/15/2022.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Bronwyn Brouwers.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 08/15/2022 02:15 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501


FACILITY NAME: BROUWERS FAMILY CHILD CARE
FACILITY NUMBER: 334844379

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/15/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Susan Brewer's record review, the licensee Bronwyn Brouwers, did not comply with the section cited above in licensee failed to renew the AB1207 Child Care Providers Mandated Reporter training that expired 04/2022, the General training exam was not completed and Staff 2 listed on the confidential names list did not complete the AB1207 mandated reporter training within 90 days of the hiring date 01/27/2022.
POC Due Date: 08/31/2022
Plan of Correction
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The licensee Bronwyn Brouwers, agrees to ensure that they and all hired employees and/or volunteers supervising daycare children complete the Mandated Reporter Training Part 1 General and Part 2 Training for AB1207 Child Care Providers, within 90 days of working or volunteering at the facility and submit proof of training completed on or before 08/31/2022, by fax, mail or e-mail.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2022
LIC809 (FAS) - (06/04)
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