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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845976
Report Date: 04/26/2024
Date Signed: 04/26/2024 01:32:37 PM

Document Has Been Signed on 04/26/2024 01:32 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:LITTLE EXPLORERS PRESCHOOL ACADEMYFACILITY NUMBER:
334845976
ADMINISTRATOR/
DIRECTOR:		JAZMINE HERNANDEZFACILITY TYPE:
850
ADDRESS:10493 MAGNOLIA AVENUETELEPHONE:
(951) 729-5130
CITY:RIVERSIDESTATE: CAZIP CODE:
92505
CAPACITY: 144TOTAL ENROLLED CHILDREN: 144CENSUS: 22DATE:
04/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:41 AM
MET WITH:Jazmine Hernandez, DirectorTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Claudia Caywood arrived at the facility to conduct a Case Management inspection in response to the receipt of an Unusual Incident Report (UIR) from the facility dated April 8, 2024. It documents an incident involving C1 and C2 who were left outside unattended during a transition from outside playtime to classroom.

At the time of the inspection, LPA toured the facility, took census, and met with Jazmine Hernandez, site director. Interviews with pertinent parties were conducted to obtain details regarding the reported incident. During the facility tour the area in which the incident occurred was observed.

Interviews revealed that C1 and C2 were found outside at the playground unattended and found by S1. S1 immediately brought the children in to their classroom and made S2 aware of the incident.

Facility records were reviewed, and S1 and S2 interviewed. Based on the information gathered, the following violation was found. Children were left unattended while transitioning from playground to classroom.

See LIC809-D for cited deficiencies of the California Code of Regulations, Title 22, Div. 12.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, appeal rights discussed, and report was reviewed with the site director, Jazmin Hernandez .

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2024
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 04/26/2024 01:32 PM - It Cannot Be Edited


Created By: Claudia Caywood On 04/26/2024 at 12:58 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: LITTLE EXPLORERS PRESCHOOL ACADEMY
FACILITY NUMBER: 334845976

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/06/2024
Section Cited
CCR
101229(a)(1)

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Responsiblity for Providing Care and Supervision: a) The licensee shall provide care and supervision ...1)No child(ren) shall be left without the supervision of a teacher at any time...(1). Supervision shall include visual observation.
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Civil penalty of $500 assesed. Staff was aware children were missing, however, did not follow protocols per staff interviews.
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Based on LPA interviews, staff did not provide care and supervision for two children who where left unattened at the facility playground. This is an immediate health and safety risk to the children in care.
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Site Director, will conduct a safety training and name to face protocol during transition from class to playground.

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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:Gilbert Sena
LICENSING EVALUATOR NAME:Claudia Caywood
LICENSING EVALUATOR SIGNATURE:
DATE: 04/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/26/2024


LIC809 (FAS) - (06/04)
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