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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334818073
Report Date: 03/13/2025
Date Signed: 03/19/2025 12:43:50 PM

Document Has Been Signed on 03/19/2025 12:43 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:FSA-HEMET CDCFACILITY NUMBER:
334818073
ADMINISTRATOR/
DIRECTOR:
KEENA CHANDLER COLEMANFACILITY TYPE:
850
ADDRESS:41931 E. FLORIDA AVE.TELEPHONE:
(951) 429-3297
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY: 102TOTAL ENROLLED CHILDREN: 102CENSUS: 50DATE:
03/13/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:13 AM
MET WITH:Keena Chandler Coleman, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced annual inspection on 03/13/2025 at 10:30 AM. LPA met with Director Keena Coleman who provided a tour of the preschool/school-age center. This facility operates as a combination childcare center, and the following licensed programs were also inspected on this date: Infant Center.

During the inspection, several key facility items were observed and updated where necessary. These included the facility's license, the Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148), the Parent’s Rights Poster (PUB393), Personal Rights (LIC613A), the Child Car Seat Law notice, and the menu. The facility was found to be operating within the limits stated on its license, and staff-to-child ratios were observed to be 50 children to 10 qualified teachers broken down to 7 children to 3 teachers in Room #3, 15 children to 2 teachers in Room #4, 13 children to 2 teachers in Room #5, and 15 children to 3 teachers in Room #6. Classrooms were adequately equipped with age- and size-appropriate furniture and materials, ensuring a safe and hazard-free environment. The facility representative confirmed that no weapons were present on the premises.

There were no accessible bodies of water on-site. The director is aware that any wading pools or similar products must be emptied immediately after use and stored in an upright position. Drinking water was available both indoors and outdoors via filtered outlet inside the facility. LPA verified that lead testing was completed on 10/22/2022 and the next testing is due by 10/22/2027.

Medications, disinfectants, cleaning solutions, and other hazardous materials were stored in a location inaccessible to children, while poisons and toxins were securely locked away. The facility’s floors were observed to be safe and clean, and bathroom facilities were sanitary and in proper working condition. The playgrounds were enclosed by a secure, six-foot-tall wrought iron fence surrounding the perimeter of the center. The fencing included self-closing gates and was free of hazards. Outdoor activity areas contained age- and size-appropriate equipment in good condition.








SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 03/19/2025 12:46 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 03/17/2025 02:20 PM


Created By: Jesse Gardner On 03/13/2025 at 01:05 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: FSA-HEMET CDC

FACILITY NUMBER: 334818073

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/13/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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This deficiency was issued in error
POC Due Date: 03/18/2025
Plan of Correction
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This deficiency was issued in error
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Deborah Mullen
LICENSING EVALUATOR NAME:Jesse Gardner
LICENSING EVALUATOR SIGNATURE:
DATE: 03/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2025


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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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: FSA-HEMET CDC
FACILITY NUMBER: 334818073
VISIT DATE: 03/13/2025
NARRATIVE
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The food preparation area was clean, free of litter and pests, and all food was properly stored to prevent contamination. Filtered water is used for food preparation. Storage containers for solid waste had tight-fitting covers, which were kept on and in good repair. The sign-in/sign-out records were reviewed and found to be in compliance with regulations. Disaster drills are conducted at least every six months, with the most recent drill occurring on 01/23/2025.

A review of staff and children’s records was conducted as part of this evaluation. Children's records were complete, and staff records confirmed that all present staff met the minimum qualifications for their respective positions. All of those examined, (5 of 5) staff members on-site held current Pediatric CPR/First Aid certifications, with expiration dates recorded. Both the opening and closing staff members also had valid CPR/First Aid certifications. The Director had completed Health and Safety Training. Additionally, a review of staff records confirmed that all facility staff and other individuals requiring caregiver background checks had received criminal record and child abuse index clearances or exemptions.

The Director was reminded that all adults over the age of 18, including employees and volunteers (except as specified in Health and Safety Code section 1596.871), must obtain a criminal record clearance or exemption before their initial presence in the Child Care Center. A civil penalty of $100 per day for up to five days, or up to 30 days for repeat violations, may be assessed for noncompliance.

If the facility is currently providing Incidental Medical Services (IMS) the following applies:

This facility provides IMS. LPA reviewed the storage of medications and equipment/supplies, as well as children's, personnel, and administrative records. Additional IMS information is available in PIN 22-02-CCP. The Director was also provided with information regarding the Americans with Disabilities Act (ADA), including the U.S. Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY). Additional information is available at Commonly Asked Questions about Child Care Centers and the ADA.


SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
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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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: FSA-HEMET CDC
FACILITY NUMBER: 334818073
VISIT DATE: 03/13/2025
NARRATIVE
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If there are currently no children enrolled who require IMS, the following applies:

IMS policy was discussed. For IMS information, see PIN 22-02-CCP. If IMS is provided in the future, an updated Plan of Operation that includes IMS must be submitted to the Department. The Director was also provided with ADA resources, including the U.S. Department of Justice toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and the publication Commonly Asked Questions about Child Care Centers and the ADA.

The Director was informed about MyChildCarePlan.org, a consumer education website that connects families with child care providers and Resource & Referral Agencies (R&Rs) throughout California. Licensing forms and regulations for Child Care Centers are available on the Department’s website at www.ccld.ca.gov. Providers can also subscribe to receive updates by entering their email under "Receive Important Updates" on the website.

LPA reviewed reporting requirements with the Director, emphasizing that any unusual incidents or injuries must be reported within 24 hours via phone and within seven days in writing. Reports may be submitted by calling the Duty Officer at (951) 782-4200 or emailing UnusualIncidentReportsDO10@dss.ca.gov.

To improve the quality and value of the inspection process, a survey may be sent to the provided email. The Director is encouraged to complete the survey and provide feedback on the inspection experience. Any questions regarding the inspection process or CARE tools may be directed to inspectionprocess@dss.ca.gov. Additional details about the inspection process can be found at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
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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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: FSA-HEMET CDC
FACILITY NUMBER: 334818073
VISIT DATE: 03/13/2025
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The Director was asked to update and submit the following documents to licensing within 30 days, if applicable:

· LIC 500 Personnel Report

· LIC 610 Emergency & Disaster Plan

· Parent Handbook, Program Curriculum, Admission Policies & Procedures, and Fee Schedule (if changed or more than two years old)

· LIC 309 Administrative Organization (if changed or more than two years old)

· LIC 308 Designation of Administrative Responsibility (if changed or outdated)

At this time, no deficiencies were issued. A Notice of Site Visit was provided and must remain posted for 30 days.

An exit interview was conducted, and this report was reviewed with and provided to Keena Chandler Coleman along with a copy of the LIC811 (confidential names list). Appeal rights were discussed and provided during the exit interview.

This is an amended copy of the original report issued on 3/13/2025.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2025
LIC809 (FAS) - (06/04)
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