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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841308
Report Date: 11/13/2025
Date Signed: 11/13/2025 12:13:35 PM

Document Has Been Signed on 11/13/2025 12:13 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:ALL ABOUT KIDS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
334841308
ADMINISTRATOR/
DIRECTOR:
CARMEN GONZALEZFACILITY TYPE:
850
ADDRESS:3640 PACIFIC AVENUETELEPHONE:
(951) 367-0704
CITY:JURUPA VALLEYSTATE: CAZIP CODE:
92509
CAPACITY: 28TOTAL ENROLLED CHILDREN: 19CENSUS: 14DATE:
11/13/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Director Carmen GonzalezTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
NARRATIVE
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On the above date and time Licensing Program Analysts (LPAs) Susan Brewer and Laura Mejorado, arrived to conduct a Case Management Inspection in response to the receipt of a self-reported unusual incident report (UIR) from the facility. The LPAs were greeted by Director Carmen Gonzalez and granted entry to tour the facility inside and out. The UIR was received by the licensing agency on 11/06/2025. It indicates that on 11/05/2025 a subject child sustained an injury while in care. The LPAs took a census of 14 children supervised by 3 staff.

LPAs S. Brewer and L. Mejorado, made observations, reviewed facility records, documents and conducted interviews with pertinent parties which revealed that the incident took place during outdoor activity. Pertinent parties interviewed stated that on 11/05/2025 at approximately 4:46 PM, a subject child bumped their head on the slide while sliding on the play structure incorrectly. Pertinent parties stated the subject child sustained an open wound on the forehead and medical attention was later sought following the incident. Interviews with pertinent parties stated staff made attempts to intervene when the child was observed playing on the play structure incorrectly. Pertinent parties stated medical attention was sought as result of the injury.

The LPAs inspected the play equipment in the outdoor activity area. The LPAs observed the play equipment to be age appropriate, in good condition with rounded edges and no identifiable deterioration or defective parts. However, due to subject child’s head bumping into the divider of the slide while sliding, the child sustained an injury. The LPAs conducted a review of records which indicates there was adequate supervision on the date and time of the incident with 1 staff and 5 children in ratio during the incident.

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: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2025
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: ALL ABOUT KIDS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 334841308
VISIT DATE: 11/13/2025
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Based on information gathered, the LPAs determined that the incident was accidental and unintentional. In addition the supervising staff made attempts to intervene and redirect when the subject child played incorrectly on the play structure. The facility acted appropriately by administering 1st aid to treat the subject child’s injury. The facility followed their operational plan by notifying the authorized representatives of the incident. In addition, the agency self-reported the incident to the department as required. Therefore, no violations are identified at this time. However due to pertinent parties not present on today's date to interview, the licensee was informed the LPAs may return at a later date to conduct additional follow-up.

No citations were issued on today's date.

No Civil Penalties were issued on today's Date.

An exit interview was conducted and a copy of this report was provided to Director Carmen Gonzalez.

A notice of site visit was issued and must remain posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Ana Noble
NAME OF LICENSING PROGRAM ANALYST: Susan Brewer
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC809 (FAS) - (06/04)
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