364819909-11-10-2022-09-CC-KTUR-CL346X-20221110175015

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364819909
Report Date: 11/10/2022
Date Signed: 11/10/2022 05:50:51 PM

Document Has Been Signed on 11/10/2022 05:50 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 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:	120	CENSUS: 31	DATE:	11/10/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Stella Ehinlaiye, Acting Director		TIME COMPLETED:	06:00 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	Licensing Program Analysts (LPAs), Kay Turner and Rachel Zeron conducted a required/annual inspection as part of a compliance review. A tour of the inside and outside of the facility was granted and the following was observed and/or noted: This is a combination center and the other licensed program is school-aged, which was also inspected on this date. A review of staff and children's records were conducted as part of this evaluation. · The licensee/director is asked to update the following documents, if applicable, and submit to licensing within 30 days: 1. LIC 500 Personnel Report 2. LIC 610 Emergency & Disaster Plan 3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made) 4. LIC 309 Administrative Organization (only if changes have been made) 5. LIC 308 Designation of Administrative Responsibility (only if changes have been made) · The following items have been posted and are updated where necessary: - License - Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148) - Parent’s Rights Poster (PUB393) - Personal Rights (LIC613A) - Child Car Seat Law - Menu · The facility is operating with the limits as stated on the license. · Ratios are being met during this inspection · Classrooms are adequately equipped with age and size appropriate furniture and equipment and free of hazards.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Karrene Turner	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GATEWAY ACADEMY	FACILITY NUMBER: 364819909
	VISIT DATE: 11/10/2022

NARRATIVE

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· There are no weapons present at the facility as stated by facility representative, Stella Ehilaiye
· There are no accessible bodies of water present. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Present for supply drinking water in the indoor activity space
· There are no medications stored at the facility
· Hazards are not stored where inaccessible to children which include: Disinfectants, cleaning solutions and other items that are dangerous, Goo gone, lysol and chlorox wipes were accessible to children in the classroom cabinet, which was not locked. 2 staff members purses were also present with non-prescription medication also accessible to the children in care.
· All floors are not clean and safe, floors were dirty with grime buildup; rugs in the classroom are not in clean/sanitary condition
· Bathrooms were not observed to be safe, sanitary and in operating condition
· Playgrounds are enclosed by appropriate fences but are not free of hazards
· Outdoor activity areas are supplied with age and size appropriate equipment but not in good condition
· Food preparation area is not clean, free of litter, rubbish and not free of rodents and other vermin
· Food is stored appropriately and protected from contamination
· All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair
· Menus shall be posted at least one week in advance in a place visible by the child’s authorized representative, dated and kept on file for 30 days, and made available upon request. LPA observed last menu posted was October 2022
· Uncontaminated drinking water shall be readily available both indoors and outdoors and provided by
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall. The material surrounding the outside equipment provides insufficient material if a fall occurs
· Sign in/Sign out record was reviewed and meets regulation requirements
· A Staff member is present with current Pediatric CPR/First Aid which expires on 06/2024
· Opening and closing staff member’s CPR/First Aid expires on 06/2024
· Director completed Health and Safety Training- a teacher within the center has completed the health and

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Karrene Turner	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

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: 11/10/2022

NARRATIVE

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safety training
· A review of children’s records was conducted, and records were found to be complete during this inspection.
· Disaster drills to be conducted every six months – last drill conducted on 06/16/2021 which was nor in compliance.
· The Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
· A review of staff records on 11/10/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
· The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov
· A review of staff records indicates that all staff present meet minimum qualifications for the position for which they were hired.

- Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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

- Facility representative was reminded that all adults 18 and over, 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 Child Care Center. 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.

- Go to the licensing webpage www.ccld.ca.gov, and click on the “Receive Important Updates” located on the right side of the page, immediately above the Quick Links. One can add their email address and choose which program(s) they wish to receive Provider Information Notices (PIN) for.

- To access on-line Licensing forms & Regulations for a Child Care Center please visit: www.ccld.ca.gov.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Karrene Turner	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

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: 11/10/2022

NARRATIVE

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- The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:
1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200

See LIC809-D for cited deficiencies.

LPA Kay Turner informed licensee facility representative, Stella Ehinlaiye, that this report dated 11/10/2022 documents 4 Type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Also, LPA Kay Turner informed the facility representative to provide a copy of this licensing report dated 11/20/2022 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the facility representative, Stella Ehinlaiye.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Karrene Turner	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/23/2023 11:58 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 01/20/2023 04:04 PM

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: 11/10/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

HSC

1596.954

Licensure Requirements

Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and staff interview, the licensee did not comply with the section cited above as the facility representative stated there are no carbon monoxide detectors within the center, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 11/14/2022
	Plan of Correction
1 2 3 4	Licensee agrees to obtain and mount an operable carbon monoxide detector within the facility. The licensee or facility representative will provide proof of working/operable carbon monoxide detector in the facility to the LPA by the POC due date.

Section Cited

Indoor Activity Space


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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) 248-0228
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/10/2022 05:50 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GATEWAY ACADEMY	FACILITY NUMBER: 364819909
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/10/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

101238(a)

Buildings and Grounds

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. LPA observed broken floor tiles at exits by the end of the hallway and exit by shared bathroom, broken door handle on the boys bathroom (shared Bumbles/Jrs) and bathroom door dragging in Jr bathroom, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 11/14/2022
	Plan of Correction
1 2 3 4	Licensee agrees to provide a written plan, to include the dates of cleaning and repair schedule to the LPA by the POC due date.

Type A

Section Cited

CCR

101238(g)

Buildings and Grounds

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. LPA observed goo gone, Lysol and Clorox wipes stored in the unlocked classroom cabinet. In addition, 2 teachers purses were also present with over the counter medication accessible, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 11/14/2022
	Plan of Correction
1 2 3 4	Licensee agrees to ensure the contents within the classroom cabinet are made inaccessible to the children in care and proof to the LPA. In addition, licensee will submit a memo of understanding on how the facility will ensure the regulations are maintained to the LPA by the POC due date.

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) 248-0228
LICENSING EVALUATOR NAME: Karrene Turner	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/10/2022 05:50 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GATEWAY ACADEMY	FACILITY NUMBER: 364819909
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/10/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

101238.2(e)(1)

Outdoor Activity Space

(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls. (1) Sand, woodchips and peagravel, or rubber mats commercially produced for the purposes of (e) above, are permitted. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. LPA observed the playground area with insufficient woodchips and/or sand surrounding the activity space, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 11/14/2022
	Plan of Correction
1 2 3 4	Licensee agrees to provide a written plan, to include the dates of cleaning and repair schedule to the LPA by the POC due date.

Type A

Section Cited

CCR

101239(o)(1)

Fixtures, Furniture, Equipment and Supplies

(o) Playground equipment shall be securely anchored to the ground unless it is portable by design. (1) Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in. LPA observed the outdoor activity equipment to be full of rust and sharp paint chips, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 11/14/2022
	Plan of Correction
1 2 3 4	Licensee agrees to provide a written plan, to include the dates of cleaning and repair schedule to the LPA by the POC due date.

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) 248-0228
LICENSING EVALUATOR NAME: Karrene Turner	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC809 (FAS) - (06/04)

Page: 7 of 11

Document Has Been Signed on 01/23/2023 11:57 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 01/20/2023 04:19 PM

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: 11/10/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101227(a)(18)

Food Service

All kitchen, food preparation and storage areas shall be kept clean and free of lltter and rubbish; and measures shall be taken to keep all such areas free of rodents and other vermin. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. LPA observed one roach crawling in the kitchen by the trashcan. which poses as a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/24/2022
	Plan of Correction
1 2 3 4	Director agrees to send a receipt for pest control to LPA by POC due date

Type B

Section Cited

CCR

101238.3(b)

The floors of all rooms shall have a surface that is safe and clean. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. LPA observed classroom floors to have dirt/gunk, the rugs in the classroom were not in clean/sanitary condition and air vents are full of dust and debris. which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/24/2022
	Plan of Correction
1 2 3 4	Director agrees to provide a written plan, to include dates of cleaning and repair schedule to LPA by POC date

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) 248-0228
LICENSING EVALUATOR NAME: Rachel Zeron	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/10/2022 05:50 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GATEWAY ACADEMY	FACILITY NUMBER: 364819909
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/10/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101174(d)

Disaster and Mass Casualty Plan

(d) Disaster drills shall be conducted at least every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, staff interview, and record review, the licensee did not comply with the section cited above. The last disaster drill was completed on 06/16/2021, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/28/2022
	Plan of Correction
1 2 3 4	Licensee agrees to complete a disaster drill and submit proof of completion to the LPA by the POC due date.

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on staff interview and record review, the licensee did not comply with the section cited above. LPA observed S1 is missing immunizations in their file. S1 confirmed not having immunization record, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/28/2022
	Plan of Correction
1 2 3 4	Licensee agrees to submit proof of immunizations, to include measles, pertussis and flu vaccination/exemption to the LPA by the POC due date.

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) 248-0228
LICENSING EVALUATOR NAME: Karrene Turner	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/10/2022 05:50 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GATEWAY ACADEMY	FACILITY NUMBER: 364819909
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/10/2022

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
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as S2 and S4 are missing mandated reporter certification, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/28/2022
	Plan of Correction
1 2 3 4	Licensee agrees to submit proof of mandated reporter certification for S2 and S4 to the LPA by the POC due date.

Type B

Section Cited

CCR

101216(g)(2)

Personnel Requirements

(2) Each person specified in (g) above shall have a health-screening report signed by the person performing the screening. This report shall indicate the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as S1 and S3 are missing LIC 503, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/28/2022
	Plan of Correction
1 2 3 4	Licensee agrees to submit the thoroughly completed LIC 503 form for S1 and S3 to the LPA by the POC due date.

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) 248-0228
LICENSING EVALUATOR NAME: Karrene Turner	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC809 (FAS) - (06/04)

Page: 10 of 11

Document Has Been Signed on 11/10/2022 05:50 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GATEWAY ACADEMY	FACILITY NUMBER: 364819909
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/10/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101227(a)(6)

Food Service

(6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, staff interview and record review, the licensee did not comply with the section cited above the last menu LPA observed posted was October 2022. Facility representative indicated using the October 2022 menu for November 2002, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/28/2022
	Plan of Correction
1 2 3 4	Licensee agrees to complete and submit proof of current menu of at least one week in advance to the LPA by the POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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) 248-0228
LICENSING EVALUATOR NAME: Karrene Turner	TELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC809 (FAS) - (06/04)

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