336301672-7-7-2026-10-CC-GCAN-DVRU6A-20260707151801

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 336301672
Report Date: 07/07/2026
Date Signed: 07/07/2026 03:18:11 PM

Document Has Been Signed on 07/07/2026 03:18 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	JAN PETERSON CHILD DAY CARE CENTER		FACILITY NUMBER:	336301672
ADMINISTRATOR/ DIRECTOR:	BEDNAR,LINDA		FACILITY TYPE:	860
ADDRESS:	26895 BRODIAEA AVENUE		TELEPHONE:	(951) 601-9200
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92555
CAPACITY: 152	TOTAL ENROLLED CHILDREN: 152	CENSUS:	DATE:	07/07/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:05 AM
MET WITH:	Linda Bednar, Director		TIME VISIT/ INSPECTION COMPLETED:	03:30 PM

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On 07/07/2026 at 09:05 am, Licensing Program Analysts (LPA) Griselda Castellon and Diana Brasel conducted a return visit to observe and document corrections to the infant and toddler option playgrounds, and all interior corrections for all components form initial visit on 06/18/2026. Upon arrival, LPA met with Linda Bednar, Director.

All outdoor and indoor activity areas used by the children were inspected today.

Infant room 10 in building 2 was set up. Rooms 1,2 and 10, were observed with complete safe, age-appropriate furniture and equipment for infants. This includes tables, chairs, cubbies, bookshelves, and other activity supplies for the children. Feeding tables have broad-based legs, plastic seats are in good repair. Changing tables have at least 1” of padding covered with moisture-resistant, washable material. The sides of the changing table are at least 3” high, and the changing table is within arm’s reach of a sink. The diapering sink is not used for meal preparation or dishwashing.

This napping/crib area barrier for room 1 and 10 is at least four feet high, made of sound-absorbing material, and allows for supervision of napping children.

Cribs meet regulatory requirements. The crib area in infant room 1 is separated from the activity space via a wall with plexiglass. There is a total of 12 cribs in the crib area.

The crib area in infant room 10 is separated by a wood frame with plexiglass. There are a total of 8 cribs in crib area.

The total indoor activity space measured 1596.65 for infants and for toddlers (room 3 (building 1) & room 9 (building 2)) measures 1081.96. The toddler indoor space is not sufficient for the initial requested capacity. Ms. Linda will submit an updated LIC 200A to reflect the capacity decrease the toddler component.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Griselda Castellon
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: JAN PETERSON CHILD DAY CARE CENTER	FACILITY NUMBER: 336301672
	VISIT DATE: 07/07/2026

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LPA observed adequate restrooms and sinks for all age groups and recounted to include the infant and toddler option. Infants have 4 toilets, 4 sinks and 1 changing table with an adult sink in each building. Toddlers have 4 sinks and 4 toilets, 1 changing table with an adult sink in each room, and 1 meal prep sink for adult use in room 3 and 9, and preschoolers have 11 sinks and 7 toilets, and 1 meal prep sink for adult use in all rooms. All sink and toilet meet the required capacity standards for all components.

The facility currently has a fully fenced playground area for all components. Fencing is made of wrought iron and block wall fencing that is at least four feet high.

The total square footage for the infant outdoor activity space is 5333.15, and the toddler option outdoor measured 3598.58 in building 1 and 2, which is sufficient to accommodate the requested capacity. Shade in the playgrounds is provided via a wooden canopy, tress, and building overhang. There are sufficient outdoor age-appropriate toys, and play equipment available on the playground.

A license for 155 children, 45 infants 6 weeks- 18 months old in rooms 1,2 and 10, 30 toddlers 18-36 months in rooms 3, and 9, and 80 preschoolers 36 months – Kinder in rooms 4-8 will be granted upon a final file review. Ms. Linda submitted an updated 200A to reflect the capacity changes.

As of today's date, the remaining corrections need to be submitted prior to the issuance of the license:

Preschool Playground:

1. Proof of the preschool playground to be set up by adding grass, and ensure it has age appropriate toys.
2. Fire Clearance to reflect the capacity changes.

Exit interview conducted and report was reviewed with Linda Bednar, Director.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Griselda Castellon
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

LIC809 (FAS) - (06/04)

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