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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700121
Report Date: 05/30/2019
Date Signed: 05/30/2019 11:32:07 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S PARADISE-SHADOWRIDGE INFANTFACILITY NUMBER:
376700121
ADMINISTRATOR:BRITTNEY SMITHFACILITY TYPE:
830
ADDRESS:145 NORTH MELROSETELEPHONE:
(760) 724-5600
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:32CENSUS: 0DATE:
05/30/2019
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Diane ProsperoTIME COMPLETED:
11:40 AM
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Licensing Program Managers I (LPMs I) Kimberly Williams and Dawn Parker, Licensing Program Analysts (LPAs) James Wilkerson, Giselle Carbullido and Susan Brewer conducted an Informal Office Conference with Nicole Steele, Director of Programs and Education and Diane Prospero, Parent Engagement Manager. The purpose of this meeting is to discuss previous violations of Title 22 and Health and Safety Regulations pertaining to violations of Providing Care and Supervision for Infants, Personal Rights, Infant Care General Sanitation and Reporting Requirements.

LPM I Williams reminded the Director of how important regulatory compliance is in licensed facilities to protect the Health and Safety of children in care. Facility representatives have been informed the Licensing Agency takes these violations seriously, and future violations may lead to a Non Compliance Conference and/or the Department seeking legal consultation regarding the status of the license

On 09/20/18, while LPA Wilkerson was conducting an Annual visit, it was discovered that there was a flood inside the facility during the evening of the 17th or early morning of the 18th, The flood caused extensive damage and resulted in the closure of an infant room. (Failure to Report). Case Management Visit.

On 02/19/19 the facility had a substantiated complaint allegation where a child was bitten between four and seven times in one day. (Providing Care and Supervision for Infants).

On 02/19/19 the facility was cited for a child being bitten between four and seven times in one day. (Personal Rights). Case Management Visit.

03/19/19 the facility had a substantiated complaint allegation of dirty carpets. LPAs Wilkerson, Carbullido and Brewer observed multiple dirty area rugs and/or carpets.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDREN'S PARADISE-SHADOWRIDGE INFANT
FACILITY NUMBER: 376700121
VISIT DATE: 05/30/2019
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During this meeting, it was disclosed that the following measures have been taken:
  1. Hiring of new staff to include: Health & Safety Manager, Education Specialist and Mentor Teacher.
  2. There will be additional training for program development for all staff to cover Title 22 Regulations pertaining to personal rights and supervision.

As a result of this Informal Conference, facility representatives have been informed of and/or provided with the following resources:


An exit interview was conducted and a copy of this report was provided to Diane Prospero on this date.

A copy of this report must be made available to the public, upon request for three year.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: James WilkersonTELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2019
LIC809 (FAS) - (06/04)
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