364817504-2-4-2021-09-CC-PBEY-BXWQXW-20210204113411

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364817504
Report Date: 02/04/2021
Date Signed: 02/04/2021 11:35:10 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	JUMPSTART, LEARNING CENTER, INC.		FACILITY NUMBER:	364817504
ADMINISTRATOR:	MIREYA GOMEZ		FACILITY TYPE:	840
ADDRESS:	10213 BASELINE ROAD		TELEPHONE:	(909) 373-1831
CITY:	RANCHO CUCAMONGA	STATE: CA	ZIP CODE:	91730
CAPACITY:	28	CENSUS: 0	DATE:	02/04/2021
TYPE OF VISIT:	Office	ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Mireya Gomez/director		TIME COMPLETED:	11:40 AM

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An Informal Conference was held with the Riverside Child Care Regional Office (RRO) via tele-conference on this date, February 04, 2021 at 10:30 am, due to DPH guidelines and social distancing. Present during the tele-conference were Facility Director Mireya Gomez (Gomez), Assistant Director Gloria Gonzalez, Licensing Program Manager I Gilbert Sena (Sena), and Licensing Program Analyst Patricia Berry (Berry).

The conference was held to discuss the facility's most recent deficiencies of Title 22 Regulations (Type A). On 1/21/21, the facility was cited for accessible cleaning solutions and lack of supervision.

On 01/14/21, a teacher was standing at the back door of the classroom, observing children on the playground, while two children were inside the classroom getting water. One of the children sprayed bleach water in the other child’s cup, and the other child took a sip of the water. The teacher did not observe the incident.

Facility immediately reported the incident the child’s parents, reported the incident to the Department, and conducted in-house training to staff.

Director stated due to the deficiencies, she conducted a training on Care and Supervision, and will contact Local Outside Vendors, Resource and Referral for future training's.

(Cont on 809C)

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia Berry	TELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2021

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: JUMPSTART, LEARNING CENTER, INC.	FACILITY NUMBER: 364817504
	VISIT DATE: 02/04/2021

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As a result of the informal conference, the Facility will complete and understands the following:

1. Facility agrees to continue monitoring classroom compliance as well as, providing classrooms with extra staff when needed, and continue to seek professional training from agencies such as, Resources and Referral, Community Care Licensing Technical Support Program. Director stated she will seek outside vendor training and Technical Support Program by 2/28/21; training will be completed by 3/31/21. Director stated she will send LPA proof of training's conducted and a list of participants by 3/31/21.

2. Facility also agrees to hold a staff meeting for staff to review Community Care Licensing- Care and Supervision and Personal Rights videos. Facility management will review all Community Care Licensing videos. Director stated she will send LPA proof of training's conducted and a list of participants by 2/28/2021.

3. Facility understands, if necessary, the Department may seek legal consultation regarding the facilities previous deficiencies.

Gomez stated she understood what was discussed during the conference and has agreed to operate the facility in substantial compliance with all Title 22 regulations and Health and Safety codes.

An exit Interview was conducted with Gomez. Berry provided Gomez with a copy of this report via email with an electronic “read receipt”. The electronic read receipt or email confirmation of the emailed report acknowledges receipt of this report.

To submit associations and disassociations:

Associations_Disassociations862@dss.ca.gov

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia Berry	TELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2021

LIC809 (FAS) - (06/04)

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