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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334807508
Report Date: 08/13/2024
Date Signed: 08/13/2024 03:03:22 PM

Document Has Been Signed on 08/13/2024 03:03 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KCE CHAMPIONS LLC @ TOMAS RIVERA ELEMENTARYFACILITY NUMBER:
334807508
ADMINISTRATOR/
DIRECTOR:
DESIREE PADILLAFACILITY TYPE:
840
ADDRESS:20440 RED POPPY LANETELEPHONE:
(951) 653-9477
CITY:RIVERSIDESTATE: CAZIP CODE:
92508
CAPACITY: 66TOTAL ENROLLED CHILDREN: 66CENSUS: 0DATE:
08/13/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Marie Milner, Interim Area Manager (present); Jill Brown and Anastasia Rivas - virtual attendanceTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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An Informal Conference was held at the Riverside Child Care Regional Office on August 13, 2024, at 1pm. Present during the informal conference were KCE Champions Representatives: Senior Licensing and Compliance Advisor, Jill Brown and Regional Manager, Anastasia Rivas - virtual attendance; Interim Area Manager, Marie Milner and CDSS Licensing Program Managers (LPMs) Ana Noble and Gilbert Sena; and Licensing Program Analysts (LPAs), Susan Brewer and Giselle Carbullido.

The meeting was held to discuss the importance of communication between KCE Champions representatives and the department. Facility's compliance history was reviewed including review of repeated non-compliance concerns throughout KCE’s licensed facilities pertaining to the following Title 22 Division 12 regulations:
1) Personnel Requirements: (Staff Qualifications)
2) Staff and Children Records
3) Criminal Record Clearance
4) Physical Plant

During this meeting, it was disclosed that the following measures have been taken by KCE Champions Management:
1. In process: Staff and Student record audits and weekly area manager visits.
2. New hires: Review of policies and procedures, recruiting of qualified staff, area manager and director completing Orientation III Record Keeping, due by 08/16/2024. Action in process to increase income hourly rate to recruit qualified staff, teachers, directors.
3. KCE company curriculum for school age program. In-service conducted on 08/09/2024 to include Title 22 regulations and videos.
4. Physical Plant: Agency is working to ensure carbon monoxide and smoke detectors are at all sites; purchase of cabinets for hazards and records.
5. Inclusion services department providing training and resources for children with difficult behaviors.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KCE CHAMPIONS LLC @ TOMAS RIVERA ELEMENTARY
FACILITY NUMBER: 334807508
VISIT DATE: 08/13/2024
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-KCE management was reminded of the following:
-All sites shall have a qualified director per Title 22 regulations.
-All staff must be fingerprint cleared and associated to the facility prior to working at a facility.
-Staff and children records shall be complete and available for review – irrespective of staff or children’s rotations to other sites and/or for staff coverage.
-The name of the childcare center director, and any fully qualified teacher(s) designated to act in the childcare center director's absence, shall be reported to the Department within 10 days of a change of childcare center director or designee(s). * Director packets to accompany notification of changes.
-Submit Personnel Reports (LIC 500) to CCL as needed with staffing changes.
or additional support or inquiries, contact the assigned analyst or CCL’s duty officer. The duty officer is available for assistance, Monday through Friday, 8:00 am to 5:00 pm

KCE Champions Representatives were informed of and/or provided with the following CDSS resources:
1. Information for ongoing training and regulations: https://www.cdss.ca.gov
2. CDSS Videos- https://ccld.childcarevideos.org/
3. PINS at: https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care
4. Director Checklist and Evaluation of Director Qualifications (LIC 9096)
5. Child Care Advocates - childcareadvocatesprogram@dss.ca.gov for training.
6. Access forms & Title 22 Regulations for Family Child Care at: https://cdss.ca.gov/inforesources/community-care/policy/laws-and-regulations
7. Sign up for department and quarterly updates at: https://cdss.ca.gov/inforesources/community-care-licensing/subscribe.
8. LIC9224 Receipt of Licensing Report

During this conference, LPMs introduced the Child Care Technical Support Program (TSP) and informed KCE Champions Management that TSP is a voluntarily program to assist facilities with meeting and maintaining the requirements of operating a licensed childcare facility. Hard copies of documents were discussed and provided to KCE Champions Representatives related to TSP; Title 22 Regulations and Health & Safety Code sections identified above.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KCE CHAMPIONS LLC @ TOMAS RIVERA ELEMENTARY
FACILITY NUMBER: 334807508
VISIT DATE: 08/13/2024
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During the conference, LPMs Noble and Sena reminded KCE Champions Management of the importance for regulatory compliance in licensed facilities to protect the Health and Safety of children in care. KCE Champions was informed the Community Care Licensing Agency takes these violations seriously, and how continued repeat violations can lead to further administrative actions by the Department including Non-compliance conference and/or up to revocation of licensure.

Additionally, KCE Champions representatives were reminded to provide a copy of this licensing report dated 08/13/24 to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report.

A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit Interview was conducted, and LPAs Susan Brewer and Giselle Carbullido provided KCE Champions representatives with a copy of this report and appeal rights during this office visit on August 13, 2024.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024
LIC809 (FAS) - (06/04)
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