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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808912
Report Date: 02/15/2022
Date Signed: 02/15/2022 01:14:17 PM


Document Has Been Signed on 02/15/2022 01:14 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, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:HERITAGE SCHOOL OF DISCOVERYFACILITY NUMBER:
503808912
ADMINISTRATOR:SIMONI, AMANDAFACILITY TYPE:
850
ADDRESS:1501 MAGNOLIA STREETTELEPHONE:
(209) 603-5042
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY:54CENSUS: DATE:
02/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:GARCIA, REBECCATIME COMPLETED:
01:40 PM
NARRATIVE
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On 2/15/2022, Licensing Program Analysts (LPAs), Roman Iglesias and Cynthia Brannon, arrived at facility to conduct a Case Management inspection due to a previous inspection visit on 12/8/2021. LPAs met with Site Supervisor, Rebecca Garcia, discussed the purpose of the inspection, conducted an indoor/outdoor inspection, and took a census.

On 12/8/2021, LPA Iglesias observed the following disinfectants/ cleaning solutions at the facility in an accessible restroom to children, next to a room were children were napping: 2 bleaches, Clorox (bowl cleaner), and Microban Sanitizing Spray. The items were located in the restroom sink cabinet, labeled as "bathroom cleaning supplies". The "bathroom cleaning supplies" cabinet was not locked and according to Ms. Garcia, the "cleaning lady" forgot to lock the cabinet. It should be noted that LPA did not observe any sort of child safety locks on the cabinet, which made the items listed above accessible to children.

Additionally, on 12/8/2021 LPA Iglesias observed a Hornet and Wasp Killer spray inside of an outside storage room. However, the door to the storage room was not properly locked, which made the spray accessible to children. Ms. Garcia disposed of the Hornet and Wasp Killer spray and securely locked the storage room.

Per California Code of Regulations, Title 22, Division 12, the following deficiency are being cited on the attached LIC809D, see next page.



An exit interview was conducted with Site Supervisor, Rebecca Garcia. A copy of this report and Appeal Rights were provided and discussed with Ms. Garcia.

A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman IglesiasTELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:
DATE: 02/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/15/2022
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 3


Document is an Amendment of Original Document on 04/07/2022 10:28 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: HERITAGE SCHOOL OF DISCOVERY
FACILITY NUMBER: 503808912

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
02/18/2022
Section Cited

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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. (1) Storage areas for poisons shall be locked.

This requirement was not met as evidenced by:
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On 12/8/21 LPA Iglesias observed a Hornet and Wasp Killer spray inside of an outside storage room. However, the door to the storage room was not properly locked, which made the spray accessible to children. This poses a potential risk to the health, safety, and personal rights of children in care.
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This is an amended version of the original report crafted on 2/15/2022.

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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: Diana deLeonTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman IglesiasTELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
LIC809 (FAS) - (06/04)
Page: 2 of 3


Document Has Been Signed on 02/15/2022 01:14 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, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: HERITAGE SCHOOL OF DISCOVERY
FACILITY NUMBER: 503808912

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/18/2022
Section Cited

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Buildings and Grounds. 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 was not met as evidenced by
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Based on observation the "bathroom cleaning supplies" cabinet was not locked. The cabinet is located in a restroom accessible to children. Inside the cabinet LPA observed 2 bleaches, Clorox (bowl cleaner), and Microban Sanitizing Spray. This poses a potential risk to the health, safety, or personal rights 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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman IglesiasTELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:
DATE: 02/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/15/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3