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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846609
Report Date: 11/13/2024
Date Signed: 11/13/2024 04:31:20 PM

Document Has Been Signed on 11/13/2024 04:31 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:
11/13/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Applicants Ma Del Socorro Camacho Ayala and Delmy Portillo TIME VISIT/
INSPECTION COMPLETED:
04:40 PM
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On 11/13/2024 the LPA's Griselda Castellon and Diana Brasel met with Applicant Ma Del Socorro Camacho Ayala to continue the pre licensing report due to time constraints on 11/12/2024. This report is the continuation of corrections needed in order to be licensed.

Grassy Area-
1. Proof of the three electrical door panels have been repaired or replaced due to splintered chipped wood.
2. Proof of the metal pole on the grassy activity area has been repaired due to chipped paint and rust.
3. Proof of the wood pillar on the grassy activity area has been repaired due to wood rot.

Preschool room 4:
1. Proof of repairs of all walls with damage.

Infant Room:
1. Proof of the infant room # walls to be repaired and painted.
2. All changing tables throughout the facility shall meet the below Title 22 regulations, proof of being in compliance shall be submitted.
101439
(h) Infant changing tables shall:
(1) Have a padded surface no less than one-inch thick and be covered with washable vinyl
or plastic.
(2) Have raised sides at least three inches high.
(3) Be maintained in good repair and safe condition.
(4) While in use, be placed within arm's reach of a sink.
(5) Not be located in the kitchen/food-preparation area. continued on LIC809C:
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Griselda Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2024
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: 11/13/2024
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LPA's discussed with the applicant the infant regulations regarding linens laundered. Lines shall be washed and sanitized at least daily or more often if necessary. The facility does not have a washer and dryer, LPA's were advised the lines go home with parents daily and the facility has back up lines on site.

Preschool restroom closest to grassy activity area:
1. Proof of repairs to all damage walls & tile shall be submitted.
2. Proof that the stall wall panel has been repaired or replaced due to rust damage.

Preschool restroom near infant playground:
1. Proof that the 3 stall bathroom doors have been repaired or replaced due to chipped paint.

School-age restroom in hallway nearest grassy activity area:
1. Proof of repairs to the floor shall be submitted due to the peeling flooring material.
2. Proof of repairs to all walls with chipped/peeling paint.
3. Proof of repairs to the ceiling that is cracked/damaged.

School-age restroom in hallway nearest infant playground:
1. Proof of repairs to the floor shall be submitted due to the peeling flooring material.
2. Proof of repairs to all walls with chipped/peeling paint.

Cafeteria:
1. Proof of repairs to all walls that have chipped/peeling paint.

Updated measurements from 11/12/2024 visit is:
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, which is not sufficient for the requested capacity, a granted waiver will be needed, school-age 10000.00, which is sufficient to accommodate the requested capacity. The outdoor grassy area measures 5,146.53 (a waiver shall be submitted for the preschool and school-age to share outdoor grassy area using time schedule for additional outdoor activities. -Continued on LIC809C-
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Griselda Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
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: 11/13/2024
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As noted on Pre-licensing report date 11/12/2024 waivers will be needed.
A waiver will be needed for the preschool for outdoor activity spaced due to limited outdoor square footage, the footage measured less than the requested capacity of 93 children, outdoor space measured.
A waiver will be needed to use the outdoor grassy area as a shared space with preschool and school-age children as additional activity area, using a time schedule.
A waiver will be needed to use the cafeteria as a shared eating space with the preschool and school-age children, using a time schedule.

Applicants Ms. Ma understands that all proof of corrections from 11/12/2024 and 11/13/2024 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.

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: 11/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024
LIC809 (FAS) - (06/04)
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