364819909-7-18-2019-09-CC-KLEG-BE7SHZ-20190718135422

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364819909
Report Date: 07/18/2019
Date Signed: 07/18/2019 01:54:30 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:	GATEWAY ACADEMY		FACILITY NUMBER:	364819909
ADMINISTRATOR:	NICOLE GARCIA		FACILITY TYPE:	850
ADDRESS:	12818 E. END AVENUE		TELEPHONE:	(909) 465-6111
CITY:	CHINO	STATE: CA	ZIP CODE:	91710
CAPACITY:	100	CENSUS: 54	DATE:	07/18/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Nicole Garcia		TIME COMPLETED:	02:00 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	Licensee has applied for capacity increase to 120 children by converting Room 4 and Room 6 into preschool activity rooms and at the same time removing Room 2 from the preschool program and convert the room into a school room. Licensee has also requested to remove the toddler option from the license. New fire clearance has been obtained. Licensing Program Analyst (LPA) Kim Leung arrived at the facility this date on 7/18/2019 conducting an inspection. During inspection, LPA toured the facility. Criminal record clearances were verified and staff-child interactions were observed. Facility was observed operating in compliance with ratio and supervision requirements at time of this inspection. LPA observed no hazards accessible to children. Room 1 is currently named as the Toddler Room and will be renamed as the Two's Class. Room 3 is currently named as the Pre K Room and will be renamed as the Junior Class. Room 5 is currently named as the Junior Class and will be renamed as another Two's Class. Measurements of Room 4 and Room 6 were taken during this inspection. Currently, Room 4 and Room 5 are used by the school age program and would be renamed as the Pre K Classes. According to the measurements on records and the measurements taken during this inspections, it has been determined that the indoor activity space could accommodate the requested capacity of 120 children Per previous Facility Evaluation Report, the preschool playground and the toddler playground could accommodate the requested capacity. Bathroom Fixtures: 9 toilets x 15 = 135 children 14 sinks x 15 = 210 children A sample of children's records were reviewed. Facility failed to update and modify the Needs and Services Plans as required for the children enrolled in the toddle class. See LIC809D for deficiency cited per California Code of Regulations, Tile 22, Division 12.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

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: GATEWAY ACADEMY	FACILITY NUMBER: 364819909
	VISIT DATE: 07/18/2019

NARRATIVE

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Per facility director Nicole Garcia's request, the school-age will continue operating in Room 4 and Room 6 until after 8/9/2019. Ms. Garcia stated that Room 4 and Room 6 would be furnished with age appropriate furniture, equipment and supplies to meet the needs of preschool children after the business hours on 8/9/2019 and pictures would be submitted to the Department by 8/11/2019. Ms. Garcia stated that the facility would cease providing care to children younger than 2 years of age after 8/9/2019. Room change would be not effective until 8/12/2019 per Ms. Garcia's request. Effective 8/12/2019, the capacity of this preschool program would be changed to 120 children, ages 2 through 5 years, provided that the deficiency has been corrected with proof submitted to the Department by then. Exit interview was conducted with Ms. Garcia. Notice of Site Visit was issued and must be posted for 30 days.

A copy of this report was provided to the facility. This report must be made available at the facility for 3 years for public review upon request.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

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: GATEWAY ACADEMY	FACILITY NUMBER: 364819909
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/18/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/23/2019 Section Cited CCR 101216.4(a)	1 2 3 4 5 6 7	Preschool Program with Toddler Component. ...The provisions of Sections 101351 through 101439.1 shall apply for children between the ages of 18 and 24 months participating in a preschool toddler component, in addition to those specified in Health and Safety Code section 1596.955. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Failure to update the plans presents potential risks to the growth, development, health and safety of the children. Director Nicole Garcia agreed to update and modify the Needs and Services Plans and submit copy to the Department by 7/23/2019.
	8 9 10 11 12 13 14	A review of the children's records revealed that facility failed to update and modify the Needs and Services Plans as required for the children enrolled in the toddle class. Director stated that no additional records were available for review during inspection.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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 Ross	TELEPHONE: (951) 784-4200
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

LIC809 (FAS) - (06/04)

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