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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334815743
Report Date: 10/01/2024
Date Signed: 10/01/2024 01:25:38 PM

Document Has Been Signed on 10/01/2024 01:25 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:RCOE - BEAUMONT EARLY HEAD STARTFACILITY NUMBER:
334815743
ADMINISTRATOR/
DIRECTOR:		TANYA CARTERFACILITY TYPE:
830
ADDRESS:600 EAST EIGHTH STREETTELEPHONE:
(951) 769-7025
CITY:BEAUMONTSTATE: CAZIP CODE:
92223
CAPACITY: 32TOTAL ENROLLED CHILDREN: 23CENSUS: 18DATE:
10/01/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:05 AM
MET WITH:Site Director Lubna SohailTIME VISIT/
INSPECTION COMPLETED:
01:35 PM
NARRATIVE
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On the date and time listed, Licensing Program Analyst (LPA) Perla Ordones arrived at the facility for the purposes of conducting a Case Management inspection in response to the receipt of an Unusual Incident Report (UIR) that was submitted by the facility on 07/23/2024. LPA was granted entry into the facility by Site Director Lubna Sohail. LPA explained the purpose of today's inspection, completed a facility tour, and obtained a census.

It was reported that on 07/19/2024, during dismissal time, a day-care child walked out of the classroom behind another family as they were leaving. LPA conducted interviews with pertinent parties who stated that at the time of the incident, one staff member was changing diapers while another was talking with authorized representatives. According to pertinent parties, both staff members realized the day-care child had walked out of the classroom when one of the staff asked where the day-care child was in order to change the child's diaper. Pertinent parties stated that one of the staff members inside the classroom retrieved the day-care child who was outside walking down the classroom ramp. The day-care child was brought back inside the classroom and the child's authorized representative was informed of the incident.

Per regulation 101229(a)(1), Responsibility for Providing Care and Supervision, "No child(ren) shall be left without the supervision of a teacher at any time". The facility was informed that supervision, including visual observation, is required at all times. Based on information obtained during the investigation, it has been determined that this is violation of Title 22 regulations.

See LIC809-D for cited deficiencies.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
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: RCOE - BEAUMONT EARLY HEAD START
FACILITY NUMBER: 334815743
VISIT DATE: 10/01/2024
NARRATIVE
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LPA Perla Ordones informed Site Director Lubna Sohail that this report dated 10/01/2024 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Perla Ordones informed the Site Director Lubna Sohail to provide a copy of this licensing report dated 10/01/2024 that documents any Type A citation(s) 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.

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

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

Exit interview conducted and report was reviewed with the Site Director Lubna Sohail.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/01/2024 01:25 PM - It Cannot Be Edited


Created By: Perla Ordones On 10/01/2024 at 01:03 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: RCOE - BEAUMONT EARLY HEAD START
FACILITY NUMBER: 334815743

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/02/2024
Section Cited
CCR
101229(a)(1)

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(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.

This requirement is not met as evidenced by:
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Licensee agrees to submit a written plan of action on how compliance will be maintained regarding regulation 101229 Responsibility for Providing Care and Supervision.
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Based on interview and record review, the licensee did not comply with the section cited above as it was reported that a daycare child walked out of the classroom without the classroom staff members seeing which posed an immediate health, safety or personal rights risk to persons in care.
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Licensee agrees to submit proof of the Plan of Correction (POC) to Community Care Licensing (CCL) by the end of the business day on the POC due date of 10/02/2024.

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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:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 10/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/01/2024


LIC809 (FAS) - (06/04)
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