372005447-3-10-2025-10-CC-KMET-DEMQT5-20250310122635

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 372005447
Report Date: 03/10/2025
Date Signed: 03/10/2025 12:26:43 PM

Document Has Been Signed on 03/10/2025 12:26 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	BOYS & GIRLS CLUB OF INLAND NORTH COUNTY		FACILITY NUMBER:	372005447
ADMINISTRATOR/ DIRECTOR:	OLGA CAMACHO		FACILITY TYPE:	840
ADDRESS:	115 W. WOODWARD		TELEPHONE:	(760) 746-3315
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92025
CAPACITY: 56	TOTAL ENROLLED CHILDREN: 16	CENSUS: 0	DATE:	03/10/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:35 AM
MET WITH:	Olga Camacho		TIME VISIT/ INSPECTION COMPLETED:	12:35 PM

NARRATIVE

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Licensing Program Analyst (LPA) Keely Messerschmidt conducted an unannounced annual inspection on 3/10/2025 at 9:35am. LPA met with Director Olga Camacho, who provided a tour of the school-age center. This facility operates as a combination childcare center, and the other licenses were not inspected on this date.

During the inspection, several key facility items were observed and updated where necessary. These included the facility's license, the Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148), the Parent’s Rights Poster (PUB393), Personal Rights (LIC613A), the Child Car Seat Law notice, and the menu. The facility was found to be operating within the limits stated on its license, no children were present during inspection. Classrooms were adequately equipped with age- and size-appropriate furniture and materials, ensuring a safe and hazard-free environment. The Director confirmed that no weapons were present on the premises.

There were no accessible bodies of water on-site. The director is aware that any wading pools or similar products must be emptied immediately after use and stored in an upright position. Drinking water was available both indoors and outdoors. Facility provides filtered water. LPA verified that lead testing was completed on 1/3/2022, and the next testing is due by 1/3/27.

Medications, disinfectants, cleaning solutions, and other hazardous materials were stored in locations inaccessible to children, while poisons and toxins were securely locked away. The facility’s floors were observed to be safe and clean, and bathroom facilities were sanitary and in proper working condition. The playgrounds were enclosed by a secure, over six-foot-tall chain link fence surrounding the perimeter of the center. The fencing included self-closing gates and was free of hazards. Outdoor activity areas contained age- and size-appropriate equipment in good condition.

Deborah Mullen	TELEPHONE: (951) 505-6334
Keely Messerschmidt	TELEPHONE: (951) 781-4200
	DATE: 03/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025

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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: BOYS & GIRLS CLUB OF INLAND NORTH COUNTY	FACILITY NUMBER: 372005447
	VISIT DATE: 03/10/2025

NARRATIVE

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The food preparation area was clean, free of litter and pests, and all food was properly stored to prevent contamination. Filtered water is used for food preparation. Storage containers for solid waste had tight-fitting covers, which were kept on and in good repair. The sign-in/sign-out records were reviewed and found to be in compliance with regulations. Disaster drills are conducted at least every six months, with the most recent drill occurring on 2/20/2025.

A review of staff and children’s records was conducted as part of this evaluation. Children's records were complete, and staff records confirmed that all present staff met the minimum qualifications for their respective positions. During staff record review, S3 missing physical and TB clearance, see LIC809D. 3 of 3 staff members on-site held current Pediatric CPR/First Aid certifications, with expiration dates of 6/25. Both the opening and closing staff members also had valid CPR/First Aid certifications. The Director had completed Health and Safety Training. Additionally, a review of staff records confirmed that all facility staff and other individuals requiring caregiver background checks had received criminal record and child abuse index clearances or exemptions.

The Director was reminded that all adults over the age of 18, including employees and volunteers (except as specified in Health and Safety Code section 1596.871), must obtain a criminal record clearance or exemption before their initial presence in the Child Care Center. A civil penalty of $100 per day for up to five days, or up to 30 days for repeat violations, may be assessed for noncompliance.

IMS policy was discussed. For IMS information, see PIN 22-02-CCP. If IMS is provided in the future, an updated Plan of Operation that includes IMS must be submitted to the Department. The Director was also provided with ADA resources, including the U.S. Department of Justice toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and the publication Commonly Asked Questions about Child Care Centers and the ADA.

The Director was informed about MyChildCarePlan.org, a consumer education website that connects families with child care providers and Resource & Referral Agencies (R&Rs) throughout California. Licensing forms and regulations for Child Care Centers are available on the Department’s website at www.ccld.ca.gov. Providers can also subscribe to receive updates by entering their email under "Receive Important Updates" on the website.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Keely Messerschmidt	TELEPHONE: (951) 781-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025

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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: BOYS & GIRLS CLUB OF INLAND NORTH COUNTY	FACILITY NUMBER: 372005447
	VISIT DATE: 03/10/2025

NARRATIVE

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LPA reviewed reporting requirements with the Director, emphasizing that any unusual incidents or injuries must be reported within 24 hours via phone and within seven days in writing. Reports may be submitted by calling the Duty Officer at (951) 782-4200 or emailing UnusualIncidentReportsDO10@dss.ca.gov.

To improve the quality and value of the inspection process, a survey may be sent to the provided email. The Director is encouraged to complete the survey and provide feedback on the inspection experience. Any questions regarding the inspection process or CARE tools may be directed to inspectionprocess@dss.ca.gov. Additional details about the inspection process can be found at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

The Director was asked to update and submit the following documents to licensing within 30 days, if applicable:

· LIC 500 Personnel Report

· LIC 610 Emergency & Disaster Plan

· Parent Handbook, Program Curriculum, Admission Policies & Procedures, and Fee Schedule (if changed or more than two years old)

· LIC 309 Administrative Organization (if changed or more than two years old)

· LIC 308 Designation of Administrative Responsibility (if changed or outdated)

See LIC809-D for cited deficiencies. A Notice of Site Visit was provided and must remain posted for 30 days.

An exit interview was conducted, and this report was reviewed with Olga Camacho. Appeal rights were discussed and provided during the exit interview.

SUPERVISOR'S NAME: Deborah Mullen	TELEPHONE: (951) 505-6334
LICENSING EVALUATOR NAME: Keely Messerschmidt	TELEPHONE: (951) 781-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/10/2025 12:26 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: BOYS & GIRLS CLUB OF INLAND NORTH COUNTY	FACILITY NUMBER: 372005447
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/10/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

CCR

101216(g)(1)

Personnel Requirements

(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above in 1 out of 3 persons missing physical and TB test in file which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/21/2025
	Plan of Correction
1 2 3 4	Director stated they willobtain physical and TB clearance for S3 and submit proof of completion via email.

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.

Deborah Mullen	TELEPHONE: (951) 505-6334
Keely Messerschmidt	TELEPHONE: (951) 781-4200
	DATE: 03/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2025

LIC809 (FAS) - (06/04)

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