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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334818374
Report Date: 09/02/2025
Date Signed: 09/02/2025 02:36:05 PM

Document Has Been Signed on 09/02/2025 02:36 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:INLAND VINEYARD PRESCHOOLFACILITY NUMBER:
334818374
ADMINISTRATOR/
DIRECTOR:		ANGELA TWYMANFACILITY TYPE:
850
ADDRESS:935 N. MCKINLEYTELEPHONE:
(951) 549-8396
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY: 133TOTAL ENROLLED CHILDREN: 103CENSUS: 49DATE:
09/02/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Director Angela TwymanTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 09/02/2025 Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct a case management visit in response to the receipt of an unusual incident report (UIR) submitted on 08/26/2025. The UIR documented an incident regarding lack of supervision. The LPA took a census of 49 children supervised by 7 staff.

Upon arrival, LPA met with facility Director Angela Twyman and stated the purpose of the visit. The UIR stated that a subject staff transitioned daycare children for outdoor activities and determined a child was missing from the group they were supervising.

The LPA conducted observations, a review of records and interviews, which revealed the following: During a review of records, it was determined that although the facility kept a face-to-face log for the subject child, the sign in/out sheets for the same child were blank. Interviews conducted with pertinent parties reported a subject child was located at the door of their assigned classroom, after a subject staff reported the child was missing from the group of children they were supervising. It was reported that the child was found unharmed and returned to participate in regular activities with their assigned class.

Additional information gathered revealed that the licensee reported the incident to the authorized representative on the same day of the incident. The licensee self-reported the incident to the licensing department as required. However, it was determined that the licensee was in violation of Title 22 regulations when a subject staff left a subject child in a classroom unsupervised for 2-3 minutes.

See LIC809C Page 2 - Case Management Incident
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Susan Brewer
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/02/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: INLAND VINEYARD PRESCHOOL
FACILITY NUMBER: 334818374
VISIT DATE: 09/02/2025
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Based on the information gathered, the facility was found to be in violation of Title 22 Regulations:
101229(a)(1) Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs.; (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.

101229.1(a)(1) Sign In and Sign Out: (a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

Title 22. IF a Civil Penalty has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

LPA informed Director Angela Twyman that this report dated 09/02/2025 documents Type A citation 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 Susan Brewer informed the Director Angela Twyman to provide a copy of this licensing report dated 09/02/2025 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.

See LIC809D for cited for deficiencies of the California Code of Regulations,
Appeal rights discussed and a copy of this report was provided to the licensee on this date.
Exit interview conducted and report was reviewed with Angela Twyman.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Susan Brewer
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/02/2025 02:36 PM - It Cannot Be Edited


Created By: Susan Brewer On 09/02/2025 at 12:43 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: INLAND VINEYARD PRESCHOOL
FACILITY NUMBER: 334818374

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/03/2025
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care & Supervision, (a) The licensee shall provide care & supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... to include visual observation.
This regulation was not met as evidenced by:
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The licensee agrees to submit a written understanding of the regulation and a plan to prevent future incidents, to include training for staff on the plan of operation, Responsibility for Providing Care and Supervision, and proof of staff participation in the training.
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Based on observation, record review, interview and by admission of the licensee, on 08/26/2025 a subject staff left a subject child unsupervised in a classroom for 2-3 minutes, which is an immediate risk to the health and safety of children in care.
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In addition the licensee agrees to submit proof of corrections to the department by fax, mail or e-mail.

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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.
Ana Noble
NAME OF LICENSING PROGRAM MANAGER:
Susan Brewer
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/02/2025


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 09/02/2025 02:36 PM - It Cannot Be Edited


Created By: Susan Brewer On 09/02/2025 at 12:43 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: INLAND VINEYARD PRESCHOOL
FACILITY NUMBER: 334818374

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/12/2025
Section Cited
CCR
101229.1(a)(1)

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101229.1 Sign In & Out, (a) In addition to the sign-in procedure requirement...(b), the licensee shall develop, maintain, & implement a written procedure...include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.
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The licensee agrees to submit a written plan of operation regarding the regulation, to ensure the regulation is met, notification to the public regarding the regulation and proof of sign in/out records for a subject child.
The licensee agrees to submit the proof of corrections by fax, mail and e-mail.
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The above regulation was not met as evidenced by: Based on review of records, the licensee did not ensure authorized representatives of a subject child sign a child in and out of the center during drop off and pick up which is a potential risk to the health and safety of children in care.
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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.
Ana Noble
NAME OF LICENSING PROGRAM MANAGER:
Susan Brewer
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/02/2025


LIC809 (FAS) - (06/04)
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