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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364818441
Report Date: 06/25/2024
Date Signed: 06/25/2024 10:23:30 AM


Document Has Been Signed on 06/25/2024 10:23 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:PSD/FONTANA CITRUS HEAD STARTFACILITY NUMBER:
364818441
ADMINISTRATOR:ALONDRA LADISONFACILITY TYPE:
850
ADDRESS:9315 CITRUS AVENUETELEPHONE:
(909) 428-8496
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY:140CENSUS: DATE:
06/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
07:50 AM
MET WITH:Alondra LadisonTIME COMPLETED:
10:35 AM
NARRATIVE
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On date and time listed above, Licensing Program Analyst (LPA) Aman Lama conducted a "Case Management- Incident" inspection. Upon arrival, LPA was met with site director, Alondra Ladison. LPA toured the facility and took census.

LPA conducted interviews with pertinent parties, and collected documentation. It was reported that on 06/12/24, a child was briefly left outside the classroom, with no supervision including visual observation on a child. The facility submitted a self-reported incident and also investigated the incident on their behalf. The facility has made necessary changes as well as held a discussion with staff on how to improve, moving forward. Additionally, it was mentioned that there will be a more in-depth meeting with staff on the importance of supervision and how to improve in this particular area. The meeting is scheduled for later today, Tuesday, 06/25/24. Staff have also began incorporating more supervision on the subject child, to ensure an incident like this does not occur again.

Due to the facility making the necessary changes and holding a staff meeting touching on the subject of "Responsibilities of Providing Care and Supervision", this citation is being downgraded to a Type B citation- PLEASE SEE LIC809D for more details.

A copy of this report must remain on file for 3 years.
LPA conducted the exit interview and reviewed this report with site director, Alondra Ladison.

A notice of site visit was given and must remain posted for 30 days. Failure to do so can result in a $100 civil penalty.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Aman LamaTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:
DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/25/2024
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 06/25/2024 10:23 AM - 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: PSD/FONTANA CITRUS HEAD START
FACILITY NUMBER: 364818441

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2024
Section Cited
CCR
101229(a)(1)

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(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1)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.
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Facility agrees to submit an agenda for the next meeting, scheduled for 06/25/24, involving knowing the "Responsibilities for Providing Care and Supervision". Director will also submit proof of all staff attending.
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Based on facility admission, a child was left without the supervision, including visual observation of a staff. This poses a potential risk to the health and safety of children in care.
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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: Gilbert SenaTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Aman LamaTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:
DATE: 06/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/25/2024
LIC809 (FAS) - (06/04)
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