334846536-6-28-2024-09-CC-DBRL-D6P3R5-20240628182811

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334846536
Report Date: 06/28/2024
Date Signed: 06/28/2024 06:28:17 PM

Document Has Been Signed on 06/28/2024 06:28 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 CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	COLLETT STATE PRESCHOOL		FACILITY NUMBER:	334846536
ADMINISTRATOR/ DIRECTOR:	RYAN, MARY		FACILITY TYPE:	850
ADDRESS:	10850 COLLETT AVE.		TELEPHONE:	(951) 509-5000
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92505
CAPACITY: 32	TOTAL ENROLLED CHILDREN: 32	CENSUS: 0	DATE:	06/28/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	03:15 PM
MET WITH:	Mary Ryan Director of Early Ed and Preschool Facility Representative		TIME VISIT/ INSPECTION COMPLETED:	06:30 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 the above noted date and time, Licensing Program Analyst (LPA), Diana Brasel conducted an announced Pre-Licensing inspection for a new license. Upon arrival, LPA met with Facility Representative Mary Ryan. Applicant originally requested 45 pre-school children ages 3-4 in classrooms 1 and 2. At time of visit the Facility Representative updated the LIC 200A to request a capacity of 39 children. LPA will request an updated Fire Clearance to reflect the change. Hours of operation will be 7:30 am - 4:00 pm with two sessions, am session will be 8:00 am - 11:00 am and pm session will be 12:00 pm - 3:00 pm. All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Mary Ryan that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Mary Ryan stated, that they will be kept with the school sites Health Assistant Office. A fully equipped first aid kit is located in each classroom, room 1 and 2. There is an operational carbon monoxide detector on site located in each classroom, room 1 and room 2. All required licensing documents will be posted posted in the outdoor marquee's located outside each classroom, room 1 and room 2. Children will be signed in and out at each classroom door, room 1 and room 2. LPA continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured 1372.16, which is sufficient to accommodate the requested capacity of 39 Children.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

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: COLLETT STATE PRESCHOOL	FACILITY NUMBER: 334846536
	VISIT DATE: 06/28/2024

NARRATIVE

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LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via filtered water and disposable. The children will be bringing their own bottles. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 6/25/2024.

LPA observed a total of 4 sinks and 4 toilets available for children’s use. These are sufficient to accommodate the requested capacity of 39 children. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the school sites Health Assistant office.

Facility will provide breakfast for the am session and lunch for the pm session. The kitchen located in classroom 1 area currently includes refrigerator, sink, and dishwasher. Meals will be provided by the district from the school sites cafeteria. The kitchen area and food storage areas were observed free of rodents and/or vermin. No food was observed on today's visit. Hazardous items in kitchen are inaccessible to children via locked door.

The facility currently has a fully fenced playground area. Fencing is chain link which in the majority of the areas is att least four feet high, there is one section which includes six panels which does not meet 4 feet. (see correction needed) The total square footage for all the outdoor activity space is 21,858.48, which is sufficient to accommodate the requested capacity. (A playground waiver to share the playground with the school site children at different times in the AM and PM shall be submitted and approved prior to licensure). Shade is provided via over hanging from school building, trees, and a canopy on the preschool area that is by itself. Currently the outdoor playground is being remodeled, the Facility Representative will contact LPA Brasel upon completion to inspect. (see correction needed. Drinking water is available on playground via fountains. LPA observed all hazardous items on the playground to be inaccessible to children. Facility Representative was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

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: COLLETT STATE PRESCHOOL	FACILITY NUMBER: 334846536
	VISIT DATE: 06/28/2024

NARRATIVE

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For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

The following corrections are needed prior to the issuance of the license:
1. Proof of completion of extending the outdoor playground fencing in the areas that are not 4 feet tall
shall be submitted.
2. Proof of the playground remodel being completed shall be submitted.
3. A waiver to share the playground with the school sited children along with a time schedule shall be
submitted.

Facility Representative Mary Ryan understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.”

APPLICANT WILL WAIT UNTIL FACILITY OPENS TO DETERMINE IMS NEEDS:

“Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked

Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm”Subscribe to CCLD important information - Child Care Centers and Family Child Care Homes:

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

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: COLLETT STATE PRESCHOOL	FACILITY NUMBER: 334846536
	VISIT DATE: 06/28/2024

NARRATIVE

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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 platforms. To receive important licensed 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 Child Care option to receive email communication.”

Review of records to be maintained - Child Care Centers:

LPA reviewed with facility representative the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

MyChildCarePlan.org--Child Care Centers and Family Child Care Home:

Facility Representative was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. “

An exit interview was conducted and report was reviewed with the Facility Representative Mary Ryan. A copy of the report was provided on this date.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

LIC809 (FAS) - (06/04)

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