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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846609
Report Date: 11/12/2024
Date Signed: 11/12/2024 07:24:19 PM

Document Has Been Signed on 11/12/2024 07:24 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:MELODY LANE CHILDREN'S CENTERFACILITY NUMBER:
334846609
ADMINISTRATOR/
DIRECTOR:		DE SOCORRO CAMACHO AYALA,MFACILITY TYPE:
860
ADDRESS:9191 COLORADO STTELEPHONE:
(714) 944-9959
CITY:RIVERSIDESTATE: CAZIP CODE:
92503
CAPACITY: 106TOTAL ENROLLED CHILDREN: 106CENSUS: 24DATE:
11/12/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Applicants Ma Del Socorro Camacho Ayala and Delmy Portillo TIME VISIT/
INSPECTION COMPLETED:
07:30 PM
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On 11/12/2024 at 10:00 am , Licensing Program Analyst(s) (LPA), Griselda Castellon and LPA's Diana Brasel conducted an announced Pre-Licensing inspection for a Change of Ownership. Upon arrival, LPA's met with Licensee Ma Del Socorro. Applicant is requesting to be licensed for 14 infants
6 weeks- 24 months in classroom 3, the napping area is room 2, 62 preschoolers 2-5 years old in classrooms 1, 4, 10A and 10B and 9; 17 school-age children ages 6-12 years old in classroom 5. Hours of operation will be Monday through Friday 6:00 am to 6:00 pm.

All indoor and outdoor activity space utilized for the children was inspected today. LPA's informed
Ms. Ma and Ms. Delmy 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, Ms. Ma stated that they will be in locked in the office. A fully equipped first aid kit is located in the office. Carbon monoxide detectors are located in all the classroom. All required licensing documents were observed posted in each classroom. Children will be signed in and out in the office.

LPA's continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured for infant 622.08, which is sufficient to accommodate the requested capacity, preschool 2180.44, which is sufficient to accommodate the requested capacity, school-age 622.08, which is sufficient to accommodate the requested capacity. . LPA's observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping mats, cribs, bookshelves, and other activity supplies for the children. Infant toys are safe with no sharp edges, splinters, or points, nor made of small parts that can present a choking hazard.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Griselda Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2024
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: MELODY LANE CHILDREN'S CENTER
FACILITY NUMBER: 334846609
VISIT DATE: 11/12/2024
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Drinking water is available in the classrooms via water pitchers. LPA's 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 07/24/2024.

In the infant rooms highchairs and feeding tables have broad-based legs, plastic and wood seats are in good repair and trays lock onto chairs. High chairs are made of washable, moisture-resistant material. changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. Staff are preparing children's bottles in the kitchen area and not utilizing the diapering sink. Cribs meet regulatory requirements. Crib area is separated from activity space via room wall. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. (see correction needed showing the installation of a gate/barrier for the large opening of the wall for the infant napping room.

LPA's observed no children's sink, toilet or potty chair for the infants (see correction needed), a total of 4 sinks and 6 toilets/urinals for preschool available for children's use, and 2 toilets and 2 sinks


available for children’s use. The infant is not sufficient to accommodate the requested capacity, the preschool and school-age is sufficient to accommodate the requested capacities. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the main office and staff restroom. There is also a staff lounge.

Facility will provide AM and PM snacks and lunch. The kitchen area currently includes 2 sinks, 2 ovens, 2 microwaves, 2 refrigerators, 4 freezers, and 1 stove. The kitchen area is labeled with Melody Lane signature to separate their food items and equipment from the Church items, as the space is shared. The kitchen area and food storage areas were observed to be free of rodents and/or vermin. Food will be observed to be properly stored separate from cleaning materials. Hazardous items in kitchen are inaccessible to children via door.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Griselda Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
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: MELODY LANE CHILDREN'S CENTER
FACILITY NUMBER: 334846609
VISIT DATE: 11/12/2024
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The facility currently has a fully fenced playground area for each component. Chain link, and wrought iron fencing surrounding the property is at least four feet high. The fencing on all playgrounds needs to be repaired or replaced (see corrections needed) The total square footage for the outdoor activity space for the infant 1815.70, which is sufficient to accommodate the requested capacity, preschool 2910.79 with the additional grassy area the total square footage for the outdoor activity is 8057.32 (a waiver shall be submitted showing the preschool and school-age children will be using the grassy area for additional outdoor play space using a time schedule), school-age 10000.00, which is sufficient to accommodate the requested capacity. Shade is provided via trees and wind sail on the infant playground. Shade is provided by trees on the preschool playground. Shade is provided via patio cover,on the school-age playground. There are sufficient outdoor age-appropriate toys and play equipment available on the playgrounds. There are climbing structures on each playground which are age appropriate for the groups that will use them. Some structures need to be repaired, replacement or removed, detailed corrections are located at the end of the report. Infant playground manufacture recommendation is for 6 months to 5 years old. Preschool playground manufacture recommendation is for 2 years to 5 years old. School-Age playground manufacture recommendation is for 5 to 12 years old. All equipment is properly anchored. There is adequate cushioning in fall zones of climbers provided by grass and rubber matting. Drinking water is available via water pitcher with disposable cups. LPA's observed all hazardous items on the playgrounds to be inaccessible to children. Applicant Ms.Ma and Ms. Delmy was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

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).



LPA's reviewed with the applicant the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Griselda Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
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: MELODY LANE CHILDREN'S CENTER
FACILITY NUMBER: 334846609
VISIT DATE: 11/12/2024
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The applicant 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCDocument Link IconP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was 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

LPA's discussed the safe sleep regulations with the applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA's also informed the applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Griselda Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
LIC809 (FAS) - (06/04)
Page: 4 of 7
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: MELODY LANE CHILDREN'S CENTER
FACILITY NUMBER: 334846609
VISIT DATE: 11/12/2024
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The applicant 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.

The following corrections are needed prior to the issuance of the license:
1. A submitted and granted waiver shall be obtained for the preschoolers to use as added activity
space and the school-age children to use with a time schedule.
2. A submitted and granted waiver shall be submitted for the preschool and school-age children to
share the cafeteria using a time schedule.

Infant Room 3
1. Proof of an installed separation (gate) of the passageway from the infant activity room to napping
room 2.
2. Proof of wall repair of all cracks on walls in room 3.
3. Proof a potty toilet and children sink are needed in the infant room 3.
Preschool Room 1
1. Proof of all damaged and or exposed compressed wood repair, replace or remove.
2. Proof of wall repair of all cracks on walls in room 1.
Preschool Room 4
1. Anchor children's cubbie.
Preschool Room 9
1. Proof of wall repair in preschool room 6.

School-Age Room 5
1. Proof of repairs for all walls where paint is chipping or peeling.
2. Proof of repairs to the damage/crack ceiling.
3. Proof of repair, remove, replacement for the fire extinguisher cases.
4. Proof of repair, remove, or replacement to the tall doll house and mounting.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Griselda Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
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: MELODY LANE CHILDREN'S CENTER
FACILITY NUMBER: 334846609
VISIT DATE: 11/12/2024
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Infant Playground
1. Proof of removal of the loose bricks in the infant playground.
2. Proof of the hole on the corner of the infant playground has been filled.
3. Proof of repair of all areas to the wrought iron fencing with rust or damage shall be submitted.
4. Proof of the protruding tree roots have been made inaccessible.
5. Proof of the choo-choo trains, red, yellow, and blue have been repaired, replaced or removed due
to rust.
6. Proof of the top pole on the chain link fence has been repaired.
Preschool Playground
1. Proof that the yellow musical chime has been repaired, replaced, removed due to rust and the
screws that are sticking need to be repaired.
2. Proof that the blue musical chime has been repaired, replaced, or removed due to rust.
3. Proof of the protruding roots have been made inaccessible.
4. Proof of repair to all areas to the wrought iron fencing with rust or damage shall be submitted.
5. Proof that the mini merry go cycle has been repaired, replaced or removed due to rust, broken
pedals.
6. Proof that the one seat closes to the classroom has been replaced or removed due to rust and a the
broken safety chain for the infant swing seat has been replaced or repaired.
7. Proof that the picnic table has been repaired, replaced or removed due to rust on the table legs.
8. Proof that the activity slide structure has been replaced, repaired, or removed due to rust.
9. Proof that the blue stand up merry go round has been repaired, replaced or removed due to rust.
10. Proof that the four seat teeter totter has been repaired, replaced or removed due to rust.
11. Proof that the circular climbing structure has been repaired, replaced or removed due to rust.
12. Proof that the metal school bus has been repaired, replaced or removed due to rust.
School-Age Playground
1. Proof that the two tall rusted polls located on the concrete area of the playground have been repaired
due to rust.
2. Proof that all the tables located on the playground have been repaired, replaced, or removed due to
rust on all the legs and one table with broken bench seats.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Griselda Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
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: MELODY LANE CHILDREN'S CENTER
FACILITY NUMBER: 334846609
VISIT DATE: 11/12/2024
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3. Proof that the two square holes have been filled and the one hole with wood sticking up has been
made flush to prevent tripping.
4. Proof that the 4 seat teeter totter has been removed.
5. Proof that the arch climbing bars have been repaired, replaced or removed due to rust.
6. Proof that the hexagon climbing structure has been repaired, replaced or removed due to rust.

Applicants Ms. Ma and Ms. Delmy understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

Exit interview conducted and report was reviewed with Ms. Ma and Ms. Delmy.

A license for 14 infants, 62 preschoolers and 17 school-age children will be granted upon a final file review.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Griselda Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
LIC809 (FAS) - (06/04)
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