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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
334819673
Report Date:
04/04/2024
Date Signed:
04/04/2024 07:03:04 PM
Document Has Been Signed on
04/04/2024 07:03 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:
KCE CHAMPIONS LLC @ MARK TWAIN ELEMENTARY SCHOOL
FACILITY NUMBER:
334819673
ADMINISTRATOR/
DIRECTOR:
DEBORAH HILL
FACILITY TYPE:
840
ADDRESS:
19411 KRAMERIA AVE
TELEPHONE:
(951) 640-5943
CITY:
RIVERSIDE
STATE:
CA
ZIP CODE:
92508
CAPACITY:
45
TOTAL ENROLLED CHILDREN:
48
CENSUS:
27
DATE:
04/04/2024
TYPE OF VISIT:
Annual/Random
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
01:33 PM
MET WITH:
Kimberly Banks, Site Director
TIME VISIT/
INSPECTION COMPLETED:
07:00 PM
NARRATIVE
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On 04/04/2024 at 1:30 PM Licensing Program Analyst (LPA) Susan Brewer, arrived at the facility to conduct a 1 year required annual inspection. LPA was granted entry by Site Director Kimberly Banks. LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following:
Normal days and hours of operation: Morning Session Monday- Friday, 6:00 AM to 8:00 AM and Afternoon Session is 1:30 PM to 6:00 PM; Located in a portable and outdoor area on South-East area of the school grounds
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.
The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days if changes have been made on or before 05/04/2024
1. LIC 500 Personnel Report
2. LIC 610 Emergency & Disaster Plan,
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization
5. LIC 308 Designation of Administrative Responsibility
6. LIC 200A Application for changes in hours of operation
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
SUPERVISORS NAME
:
Kimberly Williams
LICENSING EVALUATOR NAME
:
Susan Brewer
LICENSING EVALUATOR SIGNATURE
:
DATE:
04/04/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/04/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809
(FAS) - (06/04)
Page:
1
of
9
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:
KCE CHAMPIONS LLC @ MARK TWAIN ELEMENTARY SCHOOL
FACILITY NUMBER:
334819673
VISIT DATE:
04/04/2024
NARRATIVE
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·
The facility is not operating within the terms of the license
·
Facility is clean, safe and sanitary and in good repair.
·
Ratios were met during this inspection. LPA took a census of 27 children supervised by 3 staff.
·
A fully charged fire extinguisher (2A:10BC) was observed and checked by the fire department. A smoke detector and carbon monoxide detector were present and tested by the Licensee during this inspection.
·
Appropriate supervision was provided during this inspection
·
Classrooms are equipped with age-appropriate furniture and equipment in good condition.
·
Classrooms are clean however the facility is not free of hazards and or toxins, where combustible cleaning supplies, disinfectants, lysol and toilet cleaners were observed to be located in an unlocked cabinet in the classroom and on open shelves located in the children’s restroom.
·
All materials and surface accessible to children are toxic free.
·
No weapons stored at the facility on 04/04/2024
·
There are no bodies of water present on 04/04/2024. 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 and located in the kitchen cabinet. No children are allowed in the kitchen and do not have access to enter.
·
Center is equipped to isolate and care for any child who becomes ill during the day.
·
Hazards are NOT stored where inaccessible to children which include: 3 kitchen knives were stored in an unlocked cabinet.
·
All floors shall be clean and safe.
·
Measures are taken to keep the facility free of flies, other insects and rodents.
·
Bathrooms were observed to be sanitary and in operating condition, however the staff are using a restroom designated for children and do not have a separate restroom designated for staff, removing 1 sink and 1 toilet required for children.
·
Playgrounds are enclosed by appropriate fences and free of hazards.
·
Outdoor activity areas are supplied with age and size appropriate equipment in good condition.
·
Food preparation area is clean and free of vermin.
·
Food is stored appropriately and protected from contamination.
·
All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair.
SUPERVISORS NAME
:
Kimberly Williams
LICENSING EVALUATOR NAME
:
Susan Brewer
LICENSING EVALUATOR SIGNATURE
:
DATE:
04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/04/2024
LIC809
(FAS) - (06/04)
Page:
2
of
9
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:
KCE CHAMPIONS LLC @ MARK TWAIN ELEMENTARY SCHOOL
FACILITY NUMBER:
334819673
VISIT DATE:
04/04/2024
NARRATIVE
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·
Uncontaminated drinking water shall be readily available both indoors and out and is provided by tap water, bottled water, disposable cups and individual cups.
·
The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall by sand.
·
Menus shall be 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.
·
Sign in/Sign out record was reviewed and meets regulation requirements on 04/04/2024.
·
A Staff member is present with current Pediatric CPR/First Aid which expires on 06/27/2025.
·
Opening and closing staff member’s CPR/First Aid expires on 06/27/2025.
·
Director Health, Safety, Nutrition and Lead Training is NOT on file.
·
Staff qualifications and files were reviewed and are incomplete due 1 staff is missing proof of education and failed to renew the mandated reporter training. The Site Director Kimberly Banks is missing their LIC309 Designation of Authority, MMR, Tdap, proof of education, and proof of center orientation certificate.
·
Staff have NOT on the job training for housekeeping, sanitation and universal health precautions.
·
Each child’s file is complete on 09/26/2023.
·
Licensee was informed of the Department has inspection authority per Health and Safety Codes
·
Documentation of Lead Testing is on file: Test results reported on 09/27/2023 indicated safe levels of lead on drinking outlets at the facility and No Action Level Exceedances.
·
A review of staff records on 04/04/2024 indicates that all facility staff or other individuals who require caregiver background checks have NOT received criminal record and child abuse index clearances or exemptions. The director Kimberly Banks was hired as of 10/31/2023 and was not associated to the facility.
The Director was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox:
UnusualIncidentReportsDO09@dss.ca.gov
This facility provides Incidental Medical Services – IMS. LPA Susan Brewer, reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 FCCHs: Incidental Medical Services (IMS) policy was discussed.
SUPERVISORS NAME
:
Kimberly Williams
LICENSING EVALUATOR NAME
:
Susan Brewer
LICENSING EVALUATOR SIGNATURE
:
DATE:
04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/04/2024
LIC809
(FAS) - (06/04)
Page:
3
of
9
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:
KCE CHAMPIONS LLC @ MARK TWAIN ELEMENTARY SCHOOL
FACILITY NUMBER:
334819673
VISIT DATE:
04/04/2024
NARRATIVE
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Director Kimberly Banks, was reminded that all adults 18 and over living or working in the facility, including 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. The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at:
Associations_Disassociations862@dss.ca.gov
for Riverside Regional Office.
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 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 Susan Brewer informed Director Kimberly Banks that this report dated 04/04/2024 documents 2 Type A citations which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care. Also, LPA Susan Brewer, informed the Director Kimberly Banks, to provide a copy of this licensing report dated 04/04/2024 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.
Deficiencies were cited this visit.
Civil Penalties were issued this visit
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the Director Kimberly Banks.
SUPERVISORS NAME
:
Kimberly Williams
LICENSING EVALUATOR NAME
:
Susan Brewer
LICENSING EVALUATOR SIGNATURE
:
DATE:
04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/04/2024
LIC809
(FAS) - (06/04)
Page:
4
of
9
Document Has Been Signed on
04/04/2024 07:03 PM
- It Cannot Be Edited
Created By:
Susan Brewer
On
04/04/2024
at
06:11 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:
KCE CHAMPIONS LLC @ MARK TWAIN ELEMENTARY SCHOOL
FACILITY NUMBER:
334819673
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
04/04/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and interview, the licensee did not comply with the section cited above in LPA observed an unlocked cabinet with combustibles, cleaning solutions, lysol cleaners both liquid an aerosols, and located on open shelving in the children's restroom. In addition the LPA observed kitchen knives located in an open cabinet, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date:
04/05/2024
Plan of Correction
1
2
3
4
The licensee agrees to make all disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children, and ensure the items are stored where inaccessible to children. The licensee agrees to submit proof of the correction to the department on or before the close of business day on 04/05/2024, by photo and/or video.
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
1
2
3
4
Based on observation, interview and record review, the licensee did not comply with the section cited above in the licensee failed to associate the current Site Director Kimberly Banks, who was present and working at the facility as of 10/31/2023 which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date:
04/05/2024
Plan of Correction
1
2
3
4
The licensee agrees to ensure each person(s) 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. The licensee agrees to submit proof of criminal record clearance and association to the department on or before the close of business day 04/05/2024.
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:
04/04/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/04/2024
LIC809
(FAS) - (06/04)
Page:
5
of
9
Document Has Been Signed on
04/04/2024 07:03 PM
- It Cannot Be Edited
Created By:
Susan Brewer
On
04/04/2024
at
06:11 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:
KCE CHAMPIONS LLC @ MARK TWAIN ELEMENTARY SCHOOL
FACILITY NUMBER:
334819673
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
04/04/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)(2)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview and record review, the licensee did not comply with the section cited above in the director was unable to provide proof of documentation of disaster drills conducted which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
04/10/2024
Plan of Correction
1
2
3
4
The licensee agrees to provide proof of disaster drills shall be conducted at least every six months and agrees to maintain documention of the drills conducted for at least one year. The licensee also agrees to submit proof of disaster drills to the department by fax, mail or e-mail.
Type B
Section Cited
CCR
101239(h)
Fixtures, Furniture, Equipment and Supplies
(h) Based on the total licensed capacity, one toilet and one handwashing fixture shall be maintained for every 15 children or fraction thereof.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview, the licensee did not comply with the section cited above in by the directors own admission the staff utilize 1 of the 2 restroom stalls with a toilet and sink, leaving the facility with only 1 toilet and 1 sink designated and/or available for school age children, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
04/10/2024
Plan of Correction
1
2
3
4
The licensee agrees to submit a plan to designate a 2nd toilet to school age children and submit the plan with a facility sketch to ensure the children have 1 toilet and 1 sink for every 15 children in care, which is not used by facility staff.
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:
04/04/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/04/2024
LIC809
(FAS) - (06/04)
Page:
6
of
9
Document Has Been Signed on
04/04/2024 07:03 PM
- It Cannot Be Edited
Created By:
Susan Brewer
On
04/04/2024
at
06:11 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:
KCE CHAMPIONS LLC @ MARK TWAIN ELEMENTARY SCHOOL
FACILITY NUMBER:
334819673
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
04/04/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in the director was unable to provide proof of measles and pertussis, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
04/10/2024
Plan of Correction
1
2
3
4
The licensee agrees to submit proof of immunizations for measles and pertussis on or before 04/10/2024, by fax, mail or e-mail.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above in 1 staff present did not renew the required mandated reporter training after 12/2023 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
04/19/2024
Plan of Correction
1
2
3
4
The licensee agrees to ensure and submit proof of mandated reporter training for all employees provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
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:
04/04/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/04/2024
LIC809
(FAS) - (06/04)
Page:
7
of
9
Document Has Been Signed on
04/04/2024 07:03 PM
- It Cannot Be Edited
Created By:
Susan Brewer
On
04/04/2024
at
06:11 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:
KCE CHAMPIONS LLC @ MARK TWAIN ELEMENTARY SCHOOL
FACILITY NUMBER:
334819673
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
04/04/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101215.1(m)
Child Care Center Director Qualifications and Duties
(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview, record review, the licensee did not comply with the section cited above in the licensee failed to ensure a director or staff complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866., which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
05/06/2024
Plan of Correction
1
2
3
4
The licensee agrees to ensure a hild care center director, and/or opening or closing staff designated to supervise at the facility shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.
Type B
Section Cited
CCR
101216.1(c)(1)
Teacher Qualifications and Duties
(1) Twelve postsecondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on interview, record review, the licensee did not comply with the section cited above in LPA was unable to verify the required education, units or certifications for the director and a staff present and supervising at the facility which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
04/10/2024
Plan of Correction
1
2
3
4
the licensee agrees to submit proof of Twelve postsecondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program for the director and a subject staff.
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:
04/04/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
04/04/2024
LIC809
(FAS) - (06/04)
Page:
8
of
9