334814630-5-22-2023-09-CC-SBRR-CS3RXG-20230522132444

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334814630
Report Date: 05/22/2023
Date Signed: 05/22/2023 01:24:51 PM

Document Has Been Signed on 05/22/2023 01:24 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	RUSD-EMERSON ELEMENTARY		FACILITY NUMBER:	334814630
ADMINISTRATOR:	NATANYA JOHNSON		FACILITY TYPE:	850
ADDRESS:	4660 OTTAWA AVENUE		TELEPHONE:	(951) 788-7462
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92507
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 35	CENSUS: 25	DATE:	05/22/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Director Patricia Tran and Program Specialist Luz Romero		TIME COMPLETED:	01:35 PM

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On 05/22/2023 at 8:55 AM Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility to conduct a 1 year required annual inspection. LPA was greeted and granted entry by Lead Teacher Juanita Cruz. LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following: Program Director Patricia Tran, joined the inspection at 10:10 AM. Program Specialist Luz Romero arrived at 10:55 AM to join inspection.

Normal days and hours of operation are: STATE PRESCHOOL OPERATES MON-FRI; Morning Session: 7:30 AM to 10:30 AM and Afternoon Session: 11:15 AM to 2:15 PM. No Summer Programming for 2023.

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 licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days:
1. LIC200A with changes for New Director
2. LIC 500 Personnel Report
3. LIC 610 Emergency & Disaster Plan
4. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
5. LIC 309 Administrative Organization
6. LIC 308 Designation of Administrative Responsibility
7. Lead testing analysis report for outlets in Preschool classroom, post re-sampling and testing and Testing results for the school kitchen.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RUSD-EMERSON ELEMENTARY	FACILITY NUMBER: 334814630
	VISIT DATE: 05/22/2023

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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
· The facility is operating within the terms of the license.
· Ratios were met and appropriate supervision was provided during this inspection. LPA took a census of 14 children in the AM class and 11 children in the PM class, supervised by 3 staff.
· Classrooms are clean, free of hazards and equipped with age-appropriate furniture and equipment in good condition.
· No weapons stored at the facility on 05/22/2023
· There are no accessible bodies of water present 05/22/2023. 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 in the School Sites Health Office, on site.
· Hazards are stored where inaccessible to children which include: Disinfectants, cleaners and other items that are dangerous. Poisons and toxins are locked on 05/22/2023.
· All floors are clean and safe on 05/22/2023.
· Bathrooms were observed to be safe, sanitary and in operating condition on 05/22/2023.
· Outdoor activity areas/playgrounds are enclosed by appropriate fences, free of hazards and are supplied with age and size appropriate equipment in good condition.
· Food preparation area is clean, free of litter, rubbish and free of rodents and other vermin on 05/22/2023.
· Measures are taken to keep the facility free of flies, other insects and rodents. The school maintenance provides monthly service.
· Food is stored appropriately and protected from contamination in the school site kitchen. The facility kitchen prepares meals daily for children and outlets used for food prep and consumption are tested annually. LPA toured the facility kitchen. Lead testing was conducted on 6 outlets at the facility. However, the licensee was unable to provide proof of a lead test report, to include the kitchen outlets in the initial request of lead testing of water outlets identified for consumption and/or food preparation.
· Storage containers for solid waste, including moveable bins have tight-fitting covers, however, are in good repair.
· Menus are 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.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RUSD-EMERSON ELEMENTARY	FACILITY NUMBER: 334814630
	VISIT DATE: 05/22/2023

NARRATIVE

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· Uncontaminated drinking water shall be readily available both indoors by refilling water bottles through outdoor drinking fountains/drinking dispenser, which were tested on 04/22/2023. LPA reviewed and verified report dated 05/08/2023 to show approved lead levels for outlets C, D and E, used for water consumption.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall: Facility has wood chips, artificial grass and rubber turf. The outdoor area was observed to have a shaded areas outside of the classroom door.
· Sign in/Sign out record was reviewed and meets regulation requirements on 05/22/2023.
· A Staff member is present with current Pediatric CPR/First Aid which expires on 06/2023.
· Opening and closing staff member’s CPR/First Aid expires on 06/2023.
· Director is new and pending completion of Health and Safety Training. A qualified teacher has completed the Health, Safety and Nutrition course, No lead in Fall 2013.
· Staff qualifications and files were reviewed and are complete on 05/22/2022. There is a new director Dawn Brawley/School Principal, pending a director’s packet.
· Staff have received on the job training for housekeeping, sanitation and universal health precautions
Licensee was informed the Department has inspection authority per Health and Safety Codes.
Licensee provided the Unusual Incident Reporting email: UnusualIncidentReportsDO09@dss.ca.gov
· Children files were reviewed and are complete on 05/22/2023.
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 04/28/2023 @ 1:40 PM. A fire drill was conducted during the inspection from 10:40 AM to 10:52 AM. LPA Susan Brewer, tested the carbon monoxide and smoke alarms during the inspection. The fire extinguishers were last inspected on 02/2023 and needles are in the green.
· AB2370 – Lead Exposure, day care facilities, effective January 1, 2019 – The bill requires that all Child Care Centers, operating in a building constructed before January 1, 2010, shall have their drinking water tested for excessive lead levels, on or after January 1, 2020, but no later than January 1, 2023. Child Care Centers must thereafter test their drinking water every five years after the date of the initial test.
· AB605 – Child day care facilities, birth to school-age license; Effective January 1, 2021
· AB2960 – Child care and development services, online portal – Effective June 20, 2022 - This bill requires the State Superintendent of Public Instruction (SSPI), within the California Department of Education (CDE), to develop and post on CDE's website a comprehensive child care and development services online portal for families and providers by June 30, 2022.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RUSD-EMERSON ELEMENTARY	FACILITY NUMBER: 334814630
	VISIT DATE: 05/22/2023

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This facility provides Incidental Medical Services – IMS. LPA reviewed children’s files and verified storage of medication and equipment/supplies, are stored in the Health Office at the School site. Medication is administered by a registered health assistant. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 For CCCs: Incidental Medical Services (IMS) policy was discussed.

The Program Specialist Luz Romero, was reminded that all adults 18 and over, working 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 Child Care 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.

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.

A Type B deficiency was cited this visit.

No civil penalties.

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

Exit interview conducted and report was reviewed with Program Specialist Luz Romero.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/22/2023 01:24 PM - It Cannot Be Edited

Created By: Susan Brewer On 05/22/2023 at 12:54 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: RUSD-EMERSON ELEMENTARY	FACILITY NUMBER: 334814630
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/22/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and ecord review, the licensee did not comply with the section cited above in the licensee was unable to provide proof of lead testing on the water outlets used for food preparation and located on site, in the school kitchen, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/22/2023
	Plan of Correction
1 2 3 4	The licensee agrees to submit proof of lead testing scheduled for the water outlets utilized in the facility's school kitchen, and submitt proof of lead testing results, to the department on or before 06/22/2023, by fax, mail or e-mail.

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:

Kimberly Williams

LICENSING EVALUATOR NAME:

Susan Brewer

LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

LIC809 (FAS) - (06/04)

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