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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334812641
Report Date: 02/06/2025
Date Signed: 02/06/2025 03:00:49 PM

Document Has Been Signed on 02/06/2025 03:00 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:MAGNOLIA PRESCHOOL & KINDERGARTENFACILITY NUMBER:
334812641
ADMINISTRATOR/
DIRECTOR:		RUTH GUTIERREZFACILITY TYPE:
840
ADDRESS:13130 MAGNOLIA AVENUETELEPHONE:
(951) 272-0977
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY: 35TOTAL ENROLLED CHILDREN: 37CENSUS: 1DATE:
02/06/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:50 AM
MET WITH:Araceli Guzman, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:05 PM
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On 02/06/2025 at 7:50 AM Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility to conduct a required annual inspection. The LPA observed the facility to be operating. At 7:57 AM, the LPA was greeted Araceli Guzman, director and granted access to the facility. The LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following:

Normal days and hours of operation: Monday-Friday; 6:00 AM to 6:30 PM; in Room 4B.

The inspection consisted of reviews of the following domains: Food Service; Reporting Requirements
Physical Plant; Care and Supervision; Children Records; Staff Records; Staffing Ratio and Capacity and
Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D. The facility is operating within the licensed capacity and appropriate ratios.

The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days if changes have been made.
1. LIC 500 Personnel Report – UPDATE REQUESTED
2. LIC 610 Emergency & Disaster Plan. – UPDATE REQUESTED
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization – UPDATE REQUESTED
5. LIC 308 Designation of Administrative Responsibility – REQUESTED FOR NEW DIRECTOR
6. LIC 200A Application for changes – UPDATE REQUESTED FOR NEW DIRECTOR
The following items have been posted and are updated where necessary:
- License, Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148)
- Parent’s Rights Poster (PUB393), Personal Rights (LIC613A); Child Car Seat Law, Menu.
Ana NobleTELEPHONE: (951) 805-5718
Susan BrewerTELEPHONE: (951) 782-4200
DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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: MAGNOLIA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 334812641
VISIT DATE: 02/06/2025
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· The facility is NOT operating within the terms of the license where a school age child was observed to be co-mingled with preschool children in a preschool classroom without a waver. In addition, the licensee stated the preschool classrooms are utilized in the AM for school age children and the school age classroom is only utilized in the afternoon.
· The facility is was not observed to be clean, safe and sanitary and in good repair. The LPA also observed ceiling panels and mounting materials in the school age classroom in need of repair and falling from water damage and deterioration.
· Ratios were met during this inspection with 1 school age child observed in care and co-mingled with the pre-school children in a pre-school classroom.
· A fully charged fire extinguisher (2A:10BC) was observed and checked by the fire department in June of 2023. The LPA the fire extinguisher with a needle in the green and tested a smoke alarm, however a carbon monoxide was not observed or tested. Per director, the facility is working to obtain a carbon monoxide detector.
· Appropriate supervision was provided during this inspection.
· Classrooms are NOT equipped with age-appropriate furniture and equipment in good condition, where the LPA observed old and dirty towels stored in a file cabinet and unclean material items and clothing stored in a file cabinet. In addition, the LPA observed an unclean storage bin for food and dishes stored in cabinet, located the children’s restroom.
· Classrooms are NOT clean and free of hazards where the LPA observed the facility sinks to be unclean and cleaning equipment such as large brooms, and a large bin of several cleaning brushes and dustpans were stored and accessible to children in the open activity play areas.
· All materials and surface accessible to children are toxic free.
· No weapons stored at the facility on today’s date.
· There are no bodies of water present on today’s date. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Medications are stored where inaccessible to children, however the director stated no school age children are receiving Incidental Medical Services (IMS) at this time.
· Center is equipped to isolate and care for any child who becomes ill during the day in the director’s office.
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
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: MAGNOLIA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 334812641
VISIT DATE: 02/06/2025
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· Hazards are ARE NOT stored where inaccessible to children which include: Disinfectants, cleaning solutions and other items that are dangerous to children. While inspecting the school age room, the LPA observed Lysol spray can, and a Windex spray bottle with bleach water and aerosol can of cleaning solution labeled keep out of reach of children and stored. No children were present at the time of the inspection however the licensee stored the items openly in children’s cubbies and in unlocked cabinets above the sink.
· All floors shall be clean and safe: The LPA observed the facility floors and area rugs to be unkept.
· Measures are taken to keep the facility free of flies, other insects and rodents.
· Toxins are NOT key locked in a storage room where the LPA observed bleach wipes accessible on the counter next to the sink.
· Bathrooms were observed to be safe, sanitary and in operating condition.
· Playgrounds are enclosed by appropriate fences and free of hazards.
· Outdoor activity areas are supplied with age and size appropriate equipment in good condition. The LPA observed one of the resin materials of the outdoor slide to have a large open crack at the dismount section and the beginning stages of additional cracks present.
· The LPA observed debris and trash scattered in the sand, however it was undetermined if the items observed were brought in by the wind or common public traffic over night. No daycare children were observed to be playing in the outdoor play area at the time of the inspection.
· Food preparation area is clean and free of vermin on a quarterly basis.
· Food is stored appropriately and protected from contamination.
· All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair.
· Uncontaminated drinking water shall be readily available both indoors and out and is provided by tap water. No pitchers or igloos were observed in the classroom.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall by natural grass. The LPA observed sand.
· Menus shall be posted at least one week in advance in a place visible by the child’s authorized representative, dated and kept on file for 30 days, and made available upon request.
· Sign in/Sign out record was reviewed and meets regulation requirements on today’s date.
· A Staff member is present with current Pediatric CPR/First Aid which expires on 04/15/2026.
· Opening and closing staff member’s CPR/First Aid expires on 04/15/2026.
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
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: MAGNOLIA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 334812641
VISIT DATE: 02/06/2025
NARRATIVE
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· Director completed Health, Safety, Nutrition and Lead Training: H/S/N Fall 2017; Missing Lead Component.
· The director is missing the Orientation III Record Keeping, the CPR/1ST Aid by an EMSA approved vendor for skills test, Health Screening, and TB screening within 1 year of hire.
· Staff qualifications and files were reviewed and NOT complete. A facility driver is missing the CPR/1st Aid in person skills test from EMSA approved vendor.
· Staff received on the job training for housekeeping, sanitation and universal health precautions.
· Each child’s file is complete on today’s date.
· Licensee was informed of the Department has inspection authority per Health and Safety Codes.
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 09/2024.
· Documentation of Lead Testing is on file: Under review of documentation received.
· A review of staff records on 02/06/2025 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Director Araceli Guzman, was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov

This facility provides Incidental Medical Services – IMS. LPA Susan Brewer, reviewed storage for medication and equipment/supplies and administrative records. For IMS information, see PIN 22-02-CCP. A Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Director Araceli Guzman, was reminded that all adults 18 and over working in the facility, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Childcare Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov for Riverside Regional Office.
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC809 (FAS) - (06/04)
Page: 4 of 13
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: MAGNOLIA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 334812641
VISIT DATE: 02/06/2025
NARRATIVE
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Deficiencies were cited this visit for Type B violations.

Civil Penalties were not issued this visit.

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

Exit interview conducted and report was reviewed with the Director Araceli Guzman.
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC809 (FAS) - (06/04)
Page: 5 of 13
Document Has Been Signed on 02/06/2025 03:00 PM - It Cannot Be Edited


Created By: Susan Brewer On 02/06/2025 at 01:29 PM
Link to Parent Document Below:
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: MAGNOLIA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 334812641

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.954
Licensure Requirements
Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above in the facility did not ensure a working carbon monoxide detector is present and installed in the school age room 4B, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/10/2025
Plan of Correction
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The licensee agrees to ensure the child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections and submit proof of a carbon monoxide device is installed.
Type B
Section Cited
CCR
101238(g)(1)
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 is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in the LPA observed Lysol spray can, and a Windex spray bottle with bleach water and aerosol can of cleaning solution labeled keep out of reach of children and stored. No children were present at the time of the inspection however the licensee stored the items openly in children’s cubbies and in unlocked cabinets above the sink which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/10/2025
Plan of Correction
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The licensee agrees to ensure all disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children and storage areas for poisons shall be locked. The licensee also agrees to submit proof of items made inaccessible by photo.
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:Ana Noble
TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME:Susan Brewer
TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 02/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/06/2025


LIC809 (FAS) - (06/04)
Page: 6 of 13
Document Has Been Signed on 02/06/2025 03:00 PM - It Cannot Be Edited


Created By: Susan Brewer On 02/06/2025 at 01:29 PM
Link to Parent Document Below:
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: MAGNOLIA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 334812641

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(e)(1)
Fixtures, Furniture, Equipment and Supplies
(e) Faucets used by children for personal care shall deliver hot water. (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by children to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in the sinks for school age children in room 4B do not have hot water which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/14/2025
Plan of Correction
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The licensee agrees to ensure faucets used by children for personal care shall deliver hot water, with hot water temperature controls that shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by children to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C) and submit proof of correction.
Type B
Section Cited
CCR
101239(n)
Fixtures, Furniture, Equipment, Equipment and Supplies
(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in the LPA observed ceiling panels and mounting materials in the school age classroom in need of repair and falling from water damage and deterioration, and the outdoor slide was observed to have a large crack at the dismount area, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/06/2025
Plan of Correction
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The licensee agrees to ensure the facility furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts and submit proof of a work order to address the damage to the ceiling and the crack in the outdoor slide. The licensee agrees to submit proof of the corrections by photo.
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:Ana Noble
TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME:Susan Brewer
TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 02/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/06/2025


LIC809 (FAS) - (06/04)
Page: 7 of 13
Document Has Been Signed on 02/06/2025 03:00 PM - It Cannot Be Edited


Created By: Susan Brewer On 02/06/2025 at 01:29 PM
Link to Parent Document Below:
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: MAGNOLIA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 334812641

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101215.1(m)
Child Care Center Director Qualifications and Duties
(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in center director did not take a CPR/1st Aid course with an inperson skills test or Lead component through an EMSA approved vendor component and which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/06/2025
Plan of Correction
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Licensee agrees to agreest to submit proof of the 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866., required for child care center director and submit proof of registion to participate in a course. In addition the licensee agrees to submit proof of participation training certificate upon completion of the training by mail, fax or e-mail.
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on interview and record review, the licensee did not comply with the section cited above in the licensee was unable to provide proof of a valid CPR/1st training certificate with in-person skills test for a subject staff assigned to provide transportation to children off site, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/06/2025
Plan of Correction
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The licensee agrees to submit proof of a valid CPR/1st Aid training certificate for a subject staff, through an EMSA approved vendor by fax, mail or e-mail.
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:Ana Noble
TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME:Susan Brewer
TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 02/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/06/2025


LIC809 (FAS) - (06/04)
Page: 8 of 13
Document Has Been Signed on 02/06/2025 03:00 PM - It Cannot Be Edited


Created By: Susan Brewer On 02/06/2025 at 02:17 PM
Link to Parent Document Below:
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: MAGNOLIA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 334812641

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/06/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101175(a)
101175 Waivers and Exceptions for Program Flexibility
(a) Unless the licensee receives prior written departmental approval for a waiver or an exception as specified in (b) below, the licensee shall maintain continuous compliance with all licensing regulations.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above in the facility is operating outside of the licensed terms and without a waiver to co-mingle school age child with preschool children in a preschool classroom combined in preschool classrooms as a school age child was observed co-mingling with pre-school children, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/14/2025
Plan of Correction
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The licensee agrees to submit a written request for a waiver to co-mingle school age children with preschool children and maintain the health, safety and personal rights of children in care. In addition, the licensee agrees to cease operating outside of the terms of the license by co-mingling school age children with preschool children, pending the determination by the department to approve a licensee's request to waive a specified Title 22 regulation.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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:Ana Noble
TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME:Susan Brewer
TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 02/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/06/2025


LIC809 (FAS) - (06/04)
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