198014342-7-14-2022-54-CC-MAYA-CGBVVQ-20220714164644

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198014342
Report Date: 07/14/2022
Date Signed: 07/14/2022 04:46:50 PM

Document Has Been Signed on 07/14/2022 04:46 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	KIDZONE CHRISTIAN PRESCHOOL		FACILITY NUMBER:	198014342
ADMINISTRATOR:	SUSAN RODRIGUEZ		FACILITY TYPE:	850
ADDRESS:	11431 E. FLORENCE AVENUE		TELEPHONE:	(562) 677-3800
CITY:	SANTA FE SPRINGS	STATE: CA	ZIP CODE:	90670
CAPACITY:	165	CENSUS: 60	DATE:	07/14/2022
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Director, Susan Rodriguez and Assistant Director, Quiyanna Ramirez		TIME COMPLETED:	05:00 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	On July 14, 2022 at 12:30 PM, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced inspection at the facility noted above and met with Director, Susan Rodriguez and Assistant Director, Quiyanna Ramirez. The purpose of the inspection was to conduct a case management inspection in regards to incidents that were reported by the facility to the Department on March 26, 2021 and April 4, 2022. This facility has a total of 12 classrooms. Upon arrival, Turtle classroom was unoccupied; 1 staff (S3) and 11 napping children were present in Jellyfish classroom; 1 staff (S4) and 8 napping children were present in Sea Lion classroom; 1 staff (S5) and 8 napping children were present in Otter classroom; 1 staff (S6) and 9 napping children were present in Octopus classroom; 1 staff (S7) and 10 napping children were present in Stingray classroom; 1 staff (S8) and 11 napping children were present in Seahorse classroom; 1 staff (S9) and 11 napping children were present in Whale classroom; Manatee classroom was unoccupied; Dolphin classroom was unoccupied; Guppy Tide Pool classroom was unoccupied, and Barracuda Bay classroom was unoccupied. The Department received a telephone call from the facility that reported on March 26, 2021, a child's (C1) parent reported to the facility that their child was coming home with bruises on their arms and side, and had disclosed that another child (C2) pinched them. The Department also received an Unusual Incident/Injury Report (LIC 624) from the facility that reported on April 4, 2022, staff (S10) noticed that a child (C3) had a swollen eye with blue coloring while the child was eating their snack after nap time. The LIC 624 noted that pictures were sent to the child's parents via text message resulting in the parents contacting police. The LIC 624 documented that the police arrived to the facility.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KIDZONE CHRISTIAN PRESCHOOL	FACILITY NUMBER: 198014342
	VISIT DATE: 07/14/2022

NARRATIVE

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During today's inspection, LPA conducted a walk through of the inside and outside of the facility accompanied by Assistant Director, Quiyanna Ramirez. LPA obtained a copy of the Personnel Report (LIC 500) that is dated July 7, 2022. LPA also obtained copies of pertinent documents from the children's and staff records. LPA conducted confidential interviews at the facility with staff.

LPA requested that the following document be submitted via e-mail by Friday, July 29th: Ouch reports that were provided to the child's parent (C1) regarding the incidents.

Based on the information obtained, further follow-up is needed regarding the incidents. No deficiencies were cited at this time.

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

Exit interview conducted and report was reviewed with the facility representatives.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique Ayala	TELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

LIC809 (FAS) - (06/04)

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