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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842338
Report Date: 07/09/2024
Date Signed: 07/09/2024 02:28:59 PM

Document Has Been Signed on 07/09/2024 02:28 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 SE CC RO, 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: 60DATE:
07/09/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:01 PM
MET WITH:Rachel Choi, OwnerTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On date and time listed, Licensing Program Analyst’s (LPAs) William Chancellor and Courtnee Peebles, arrived for the purpose of completing an annual inspection for Children's Lighthouse Learning Center (CCC). During the inspection, LPA’s reviewed records and toured the facility inside and out with Owner (OWN) Rachel Choi. The following health and safety concerns were observed during file review, which resulted in a separate case management visit.

On January 18, 2024, a disciplinary action was taken on staff, due to leaving a child on the playground for an unknown length of time during a transition back inside. Staff interviews and file review confirmed that Community Care Licensing (CCL) was not notified of this incident within 24 hours via telephone and no record of an Unusual Incident Report (UIR) was neither mailed or emailed to CCL within seven (7) days.

Based on records review, staff interview and LPA’s observations, the facility is being cited for: Title 22, division 12, Chapter 1, Article 06, section: 101212(d)(1)(C) Reporting Requirements, see 809D for deficiencies.

Exit interview was conducted, and a copy of this report, 809D’s and appeal rights were provided to Owner Rachel Choi.

A notice of site visit was provided and licensee was informed it must be posted for 30 consecutive days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2024
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 07/09/2024 02:28 PM - It Cannot Be Edited


Created By: William M Chancellor Jr. On 07/09/2024 at 01:45 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDREN'S LIGHTHOUSE LEARNING CENTER
FACILITY NUMBER: 334842338

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/09/2024
Section Cited
CCR
101212(d)(1)(C)

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Reporting Requirements:(d) Upon the occurrence.... a report shall be made to the Department.....by next working day. In addition, a written report....shall be submitted to the Department within seven days........
(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.

This requirement is not met as evidenced by:
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By COB, Director will email LPA Peebles a admin training on 101212 Reporting requirements, including a staff sign-in and written statement of understanding.
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Based on interview and record review, the licensee did not comply with the section cited above where the Director did not report an incident to CCL in a timely manner. Where a child was left alone on the playground, during a transition on 1/18/24. Which poses a potential health, safety or personal rights risk to persons 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:William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:
DATE: 07/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/09/2024


LIC809 (FAS) - (06/04)
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