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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334812642
Report Date: 07/30/2024
Date Signed: 07/30/2024 01:51:05 PM

Document Has Been Signed on 07/30/2024 01:51 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:
334812642
ADMINISTRATOR/
DIRECTOR:		RUTH GUTIERREZFACILITY TYPE:
830
ADDRESS:13130 MAGNOLIA AVENUETELEPHONE:
(951) 272-0977
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 9DATE:
07/30/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Alicia Flores, Area CoordinatorTIME VISIT/
INSPECTION COMPLETED:
02:05 PM
NARRATIVE
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Licensing Program Analyst (LPA) Elyse Jones arrived at the facility to conduct a Case Management inspection for the purpose of addressing separate matters that were discovered during an inspection at the facility. Upon arrival the LPA observed construction being conducted on the infant outdoor playground. Title 22 states, "The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space."

As the LPA entered the facility, the LPA was greeted by S1 who was observed to be providing Supervision and Care to nine infants with one Aide. S1 introduced himself/herself as the Facility Director. A file review was conducted for S1 which determined S1 is not a fully qualified teacher. Title 22 states, "Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university." and " At least three of the units required in (c)(1) above shall be related to the care of infants or shall contain instruction specific to infants." Furthermore, S1 does not qualify as Director without having met the above requirements and "Have completed, with passing grades, at least three postsecondary semester or equivalent quarter units in administration or employee relations at an accredited or approved college or university."

See LIC 809-D for deficiency cited

LPA informed Alicia Flores that this report dated 7-30-2024 documents one Type A citation which shall be posted for 30 consecutive days as there was an immediate risk to the Health, Safety, or Personal Rights of children in care. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224) was provided to facility during this inspection.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE: DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2024
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: MAGNOLIA PRESCHOOL & KINDERGARTEN
FACILITY NUMBER: 334812642
VISIT DATE: 07/30/2024
NARRATIVE
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The Lic 9224/Type A citation must be provided to parents/guardian 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 the verification.

Exit interview conducted and report was reviewed with Alicia Flores, Area Coordinator.

A Notice of Site Visit was given and must remain posted on, or immediately adjacent to the interior of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Elyse Jones
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/30/2024 01:51 PM - It Cannot Be Edited


Created By: Elyse Jones On 07/30/2024 at 11:46 AM
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: 334812642

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/31/2024
Section Cited
CCR
101416.2(c)(1)(A)

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(c) To be a fully qualified infant care teacher, a teacher shall have the following:
(1) Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university.
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poses an immediate Safety risk to the children in care. During the facility tour LPA observed S1 providing Supervision and Care to nine infants with an Aide. After file review it was determined that S1 is not a fully qualified teacher per Title 22 regulations.
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(A) At least three of the units required in (c)(1) above shall be related to the care of infants or shall contain instruction specific to infants.
Based on the record review, the Licensee did not meet the above regulation which
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Licensee understands all teachers must meet the Teacher Qualifications prior to being employed as a Teacher. Licensee understands S1 does not meet the qualifications. Licensee shall submit a letter of understanding and a plan to remain in compliance by COB 7-31-24.

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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:Aaron Ross
LICENSING EVALUATOR NAME:Elyse Jones
LICENSING EVALUATOR SIGNATURE:
DATE: 07/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/30/2024


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Document Has Been Signed on 07/30/2024 01:51 PM - It Cannot Be Edited


Created By: Elyse Jones On 07/30/2024 at 11:54 AM
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: 334812642

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/15/2024
Section Cited
CCR
101415(d)(3)

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(d) When the director of an infant care center or the director of a combination center is temporarily away from the center, the director has the authority to delegate his/her responsibilities as specified below: (3) If the absence is more that 30 days consecutive calendar days, the substitute director shall
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stated she has been in training to be Director for a month. On May 28, 2024 the facility was cited due to not having a Director. As of today, the Department has not been notified of having a Director and based on file review the Interim Director does not qualify.
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 meet the qualifications of a director.

Based on the observation and interview, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. Upon arrival the LPA was greets by S1 who
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Area Coordinator will forward report to Licensee. Licensee must submit a statement of understanding and a plan that will keep the facility in compliance. The statement is due on or by close of business 8-15-2024.

$250 Civil Penalty assessed
Type B
08/01/2024
Section Cited
CCR101212(c)

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The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space. Such structural changes shall include, but not be limited to, room additions.
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The facility did not notify the Department of plans to change or modify the outdoor space. Additionally, the infants do not have any other areas to utilize for play and there is not a waiver on file to share playgrounds with any other program.
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Based on the observation, the Licensee did not meet the above regulation which poses a potential Health, Safety & Personal Rights risk to the children in care. Upon arrival to the facility LPA observed three male staff demoing the infant playground.
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The Area Coordinator and Licensee understands that all changes or modifications made at the facility must be reported to the Department prior to the construction starting. An Unusual Incident Report due on or by 8-1-24.
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:Aaron Ross
LICENSING EVALUATOR NAME:Elyse Jones
LICENSING EVALUATOR SIGNATURE:
DATE: 07/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/30/2024


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