<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334806287
Report Date: 12/14/2023
Date Signed: 12/14/2023 10:53:51 AM


Document Has Been Signed on 12/14/2023 10:53 AM - 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 STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:BOEHM CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334806287
ADMINISTRATOR:KNUDSEN, CATHYFACILITY TYPE:
850
ADDRESS:74-200 COUNTRY CLUB DRIVETELEPHONE:
(760) 346-6829
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY:66CENSUS: 58DATE:
12/14/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:53 AM
MET WITH:Cathy Knudsen TIME COMPLETED:
11:03 AM
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 December 14, 2023, at 9:53 AM, Licensing Program Analyst (LPA), Anastasia Flores, conducted a Case Management visit to address an issue resulting from the complaint investigation that was conducted on 12/07/23, (Complaint Control # 10-CC-2023112813424 and Complaint control #10-CC-20231130084124) conducted. LPA met with Director, Cathy Knudsen. During the course of the complaint Investigation, the facility cameras were reviewed, and LPAs Flores and A. Shaw observed staff #1 and staff #2, physically pushing children’s heads and bodies onto the cot during naptime between the hours of 12:15 PM to 2:30 PM, in the Jr. Preschool Classroom.
Staff have been instructed to make the children lie down on their tummies and enforce the children to stay quiet and in their cots during what is called nappy-time. LPA Flores consulted Director, Cathy Knudsen, how this is a violation of personal rights and that she should be reviewing the cameras to prevent further incidents..

The facility is being cited for California Code of Regulations, Title 22, Division 12, Chapter 1, section 101223(a)(1) Personal Rights; This is an immediate health, safety and personal rights risk to children in care.

The Facility representative shall post and provide copies of the report to parents/guardians of the children currently in care at the facility by the next business day and provide copies to the parents/guardians of newly enrolled children at the facility during the next 12 months. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file.

The Director was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.
An exit interview was conducted, a copy of this report, 809D, LIC9224, & appeal rights, along with a Notice of Site Visit was handed to Director, Cathy Knudsen.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia FloresTELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2023
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


Document Has Been Signed on 12/14/2023 10:53 AM - 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 STREET, STE 700
RIVERSIDE, CA 92501


FACILITY NAME: BOEHM CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 334806287

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/15/2023
Section Cited
CCR
101223(a)(1)

1
2
3
4
5
6
7
101223(a)(1) PERSONAL RIGHTS: The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Director, Cathy Knudsen has completed two different personal rights trainings since 12/07/23 with staff. Director will conduct additoinal trainings with staff on the importance of personal rights of children in care. Director will send LPA Flores a plan of correction by 12/15/23.
8
9
10
11
12
13
14
Based on observation and record review, S1 handled day care children inappropriately on one or more occasions by placing their hands on the children’s stomach, head and forcing the child to stay down. This is an immediate health, safety and personal rights risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Anastasia FloresTELEPHONE: (951) 533-2031
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2