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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846161
Report Date: 09/17/2024
Date Signed: 09/17/2024 11:19:44 AM

Document Has Been Signed on 09/17/2024 11:19 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KIDDIE ACADEMY OF CORONAFACILITY NUMBER:
334846161
ADMINISTRATOR/
DIRECTOR:
MELISSA BORBOAFACILITY TYPE:
850
ADDRESS:3977 BEDFORD CANYON ROADTELEPHONE:
(951) 444-7434
CITY:CORONASTATE: CAZIP CODE:
92883
CAPACITY: 108TOTAL ENROLLED CHILDREN: 108CENSUS: 0DATE:
09/17/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Melissa Borboa, Director and Nemi Kotadiya, LicenseeTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
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On 9/17/2024, at 10:00 AM, an informal conference was held at the Riverside Regional Office. Present in the conference were Site Director, Melissa Borboa and Nemi Kotadiya, Licensee, Licensing Program Manager (LPM) Gilbert Sena and Licensing Program Analyst (LPA) Claudia Caywood.

Due to a recent complaint investigation, the Purpose of the meeting is to review and discuss the following:

· Personal Rights
· Care and Supervision
· Technical Support Program (TSP) and outside vendor program

LPM and LPA reviewed/discussed facility staff training, facilities policies and procedures, and day-to-day operation as it relates personal rights and care & supervision.

LPM reviewed TSP and encouraged the facility to voluntarily enroll and/or complete outside vendor training, primarily focusing on personal rights and care & supervision.

Facility staff were advised to visit the Department's website at: https://cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers

Facility Staff were advised to review the Personal Rights and Care & Supervision Childcare Provider videos website at; https://ccld.childcarevideos.org/child-care-center-operators/

(Cont. 809-C)
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE: DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2024
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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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: KIDDIE ACADEMY OF CORONA
FACILITY NUMBER: 334846161
VISIT DATE: 09/17/2024
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensing related information to licensed facilities, visit the CCLD Important Information website at:
https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Childcare option to receive email communication.

As a result of this informal conference, Director, Melissa Borboa, and Nemi Kotadiya, understand the department’s expectations regarding personal rights and care & supervision and agree to maintain substantial compliance with Title 22 Regulations.

LPA Caywood informed Licensee's to provide a copy of this licensing report, dated 09/17/2024, to authorized representatives of all children currently enrolled by the next business day, or the next day the children are in care; and to any newly enrolled children's authorized representatives for the next 12 months from the date of this report.

A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Claudia Caywood
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
LIC809 (FAS) - (06/04)
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