334843162-1-31-2023-09-CC-SBRR-CNLT58-20230131132507

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334843162
Report Date: 01/31/2023
Date Signed: 01/31/2023 01:25:11 PM

Document Has Been Signed on 01/31/2023 01:25 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:	FSA- HIGHGROVE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	334843162
ADMINISTRATOR:	CASSANDRA WALKER		FACILITY TYPE:	850
ADDRESS:	459 CENTER STREET		TELEPHONE:	(951) 342-3151
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92507
CAPACITY: 44	TOTAL ENROLLED CHILDREN: 36	CENSUS: 27	DATE:	01/31/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Director Susana Garcia		TIME COMPLETED:	01:35 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 01/31/2023 at 9;45 AM, LPA Susan Brewer, arrived unannounced at the facility for the purpose of conducting a case management inspection, in response to the receipt of a self reported unusual incident report (UIR) from the facility. The LPA was greeted by Director Susana Garcia, and granted entry to tour the facility inside and out. LPA took a census of children present. The UIR was received by the licensing agency on 01/18/2023. It indicates that on the afternoon of 01/13/2023 the facility Director Susana Garcia, received a phone call from a concerned Parent 1 (P1 on LIC811 confidential names list). P1 informed the Director that on 01/13/2023, once that parent returned home form the day care, P1 noticed a scratch on the left side of Child 1's neck (Identified as C1 on the LIC811), when P1 asked C1, about the scratch, C1 informed P1, that that a teacher pushed them. LPA S. Brewer, reviewed facility records and interviews were conducted with C1 and pertinent parties. Based on information gathered from facility documents and interviews conducted, there was no evidence obtained or documentation to corroborate the alleged incident took place, involving C1 and facility staff in room 2. No violations have been identified at this time and the incident is determined to be UNFOUNDED. The facility director followed-up with an internal investigation into the alleged incident, addressed the parent's concerns and self reported the incident to Community Care Licensing. No citations issued. No civil penalties. An exit interview was conducted and a copy of this report was provided to Director Susana Garcia.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2023

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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