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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842338
Report Date: 10/04/2024
Date Signed: 10/04/2050 10:56:00 AM

Document Has Been Signed on 10/04/2050 10:56 AM - 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 SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHILDREN'S LIGHTHOUSE LEARNING CENTERFACILITY NUMBER:
334842338
ADMINISTRATOR/
DIRECTOR:
LINDA SCOTTFACILITY TYPE:
850
ADDRESS:23656 CLINTON KEITH ROADTELEPHONE:
(951) 600-9395
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 71DATE:
10/04/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Linda ScottTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On October 4, 2024, at 09:50 AM, Licensing Program Analyst (LPA) Courtnee Peebles conducted a case management visit and met with Director Linda Scott. This case management is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on September 09, 2024. It indicates that on September 09, 2024, Child #1 (C1) was restrained and "tapped" on the mouth by Staff #1 (S1) during nap time. In addition, S1 was observed becoming frustrated when C1 tried to bite them and immediately lifted C1's head as C1 was between S1's legs preventing them from getting up and "tapped" C1's mouth with their hand and immediately placed a drinking cup in C1's mouth.

Facility records were reviewed and Director was interviewed. Director stated camera footage was reviewed and immediate action was taken. At this time, it has been determined that the facility took the appropriate actions.

See LIC809-D for cited deficiencies of the California Code of Regulations, Title 22, Div. 12 Section 101223(a)(3) Personal Rights.

An exit interview was conducted, a copy of this report, appeal rights discussed, and notice of site visit was provided to Director.

NAME OF LICENSING PROGRAM MANAGER: Pauline Beschorner
NAME OF LICENSING PROGRAM ANALYST: Courtnee Peebles
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2024
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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Document Has Been Signed on 10/04/2050 10:56 AM - It Cannot Be Edited


Created By: Courtnee Peebles On 11/24/2024 at 10:38 AM
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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDREN'S LIGHTHOUSE LEARNING CENTER

FACILITY NUMBER: 334842338

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/04/2024
Section Cited
CCR
101223(a)(3)

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101223(a) The licensee shall ensure that each child is accorded the following personal rights:(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by:
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Director has since taken immediate action towards S1. Director stated they have also held a training regarding personal rights that all staff signed. Proof was provided to LPA on 10/04/2024.
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Based on observation and interview S1 violated the personal rights of C1 by restraining them and tapping C1 on their mouth during nap time. This poses potential health and saftey risk to 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.
SUPERVISOR'S NAME:Pauline Beschorner
LICENSING EVALUATOR NAME:Courtnee Peebles
LICENSING EVALUATOR SIGNATURE:
DATE: 10/04/2050
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/04/2050


LIC809 (FAS) - (06/04)
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