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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334830367
Report Date: 08/10/2022
Date Signed: 08/10/2022 03:22:43 PM

Document Has Been Signed on 08/10/2022 03:22 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:SCHOOL TIME CHILDREN'S LEARNING CENTERFACILITY NUMBER:
334830367
ADMINISTRATOR:BRIANA CHAVEZFACILITY TYPE:
840
ADDRESS:4655 TEXAS AVENUETELEPHONE:
(951) 785-9001
CITY:RIVERSIDESTATE: CAZIP CODE:
92504
CAPACITY: 17TOTAL ENROLLED CHILDREN: 21CENSUS: 14DATE:
08/10/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:03 PM
MET WITH:Gayani Wedanarachchi, DirectorTIME COMPLETED:
03:20 PM
NARRATIVE
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On 08/10/2022, Licensing Program Analyst Kay Turner arrived for another purpose. The facility was toured, a census was taken, and files were reviewed. Upon arrival, the Assistant Director greeted LPA Turner and granted permission to enter the facility. During the tour of the facility with the Assistant Director, the LPA observed 3 school age children unattended without supervision from Staff #1. Staff #1 left the school age children to take a preschool child to the restroom.

Please see LIC 809D for deficiencies.

Exit interview conducted and report was reviewed with the Director, Gayani Wedanarachchi.



A notice of site visit and appeal rights were given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Turner
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022
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 2
Document Has Been Signed on 08/10/2022 03:22 PM - It Cannot Be Edited


Created By: Karrene Turner On 08/10/2022 at 02:52 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: SCHOOL TIME CHILDREN'S LEARNING CENTER
FACILITY NUMBER: 334830367

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/11/2022
Section Cited
CCR
101229(a)(1)

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Responsibility to Provide Care & Supervision:...(1)No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Licensee agrees to submit a written plan to the Department which states how the facility will ensure there is appropriate staffing and supervision while the children are in care by the POC due date.

Civil Penalty assessed. $500
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LPA observed 3 school age children unattended as Staff #1 left them unsupervised to take a preschool child to the restroom.
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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:Karrene Turner
LICENSING EVALUATOR SIGNATURE:
DATE: 08/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/10/2022


LIC809 (FAS) - (06/04)
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