<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336300975
Report Date: 11/12/2024
Date Signed: 11/12/2024 04:05:09 PM

Document Has Been Signed on 11/12/2024 04:05 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
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:EARLY LEARNING ACADEMYFACILITY NUMBER:
336300975
ADMINISTRATOR/
DIRECTOR:
MISTY KELLEYFACILITY TYPE:
850
ADDRESS:26700 COTTONWOOD AVENUETELEPHONE:
(951) 571-4716
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92555
CAPACITY: 195TOTAL ENROLLED CHILDREN: 195CENSUS: 98DATE:
11/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Misty KelleyTIME VISIT/
INSPECTION COMPLETED:
04:15 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
Licensing Program Analysts (LPAs) Sumayya Habeebulla and Cindy Hamilton arrived at the facility for the purpose of conducting a case management visit. The Department received an unusual incident report (UIR) dated 10/01/2024 from the facility stating an incident that occurred in Room B102.

LPAs conducted interviews with pertaining parties, and it was found that on Friday, 09/27/24, Parent observed the Child #1 (C1) had a loose tooth. C1 returned to the facility on Monday 09/30/24,but parent did not speak to the staff or facility administration regarding the issue. On Tuesday 10/01/24, parent called facility assistant principal and reported that C1 had a loose tooth on Friday 09/27/24, and parent also informed the facility representative that C1 has had scratches on multiple occasions when returning from the facility. Facility conducted an internal investigation since C1 attends another preschool in the afternoon and is transported by the school bus. As per the bus driver, no incidences were observed resulting in injury while C1 was on the bus. The bus is equipped with cameras and the bus driver also documents any incidences that occur in the bus.

Facility has documentation of 2 bruises and a scratch on the face of C1 that were recorded in the month of September. As per the interviews, whenever a child is dropped off, staff conducts a health check, and anything observed is documented and discussed with the person who drops off the child. Staff observed these injuries during drop off time in the morning and when staff inquired with the adult who dropped off C1, they responded that the C1 wrestles with C1's sibling and therefore gets these scratches or bruises. No injuries were recorded when the C1 was present at the facility.

Based on the information gathered, there appears to be no violations of Title 22 Regulations found at this time, and therefore, there were no deficiencies cited during this inspection.

An exit interview was conducted with the Facility Representative Ms. Misty Kelley, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
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)
Page: 1 of 1