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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360908232
Report Date: 01/03/2024
Date Signed: 01/03/2024 03:23:54 PM

Document Has Been Signed on 01/03/2024 03:23 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:LOMA LINDA CHILDREN'S CENTER: A MIN. OF UNIV.C.O.FACILITY NUMBER:
360908232
ADMINISTRATOR:MARIANA MITROIFACILITY TYPE:
850
ADDRESS:25228 SHEPARDSON STREETTELEPHONE:
(909) 796-0161
CITY:LOMA LINDASTATE: CAZIP CODE:
92354
CAPACITY: 114TOTAL ENROLLED CHILDREN: 114CENSUS: 0DATE:
01/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Mariana Mitroi, Center Director TIME COMPLETED:
03:35 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 01/03/2024 at 2:10 PM, Licensing Program Analyst (LPA) Raymond Moorehead arrived at the facility to conduct a case management inspection. LPA met with Center Director Mariana Mitroi. A case management inspection was conducted in response to the receipt of an Unusual Incident Report (UIR) from the Center Director. The UIR was received by the licensing agency on 10/18/2023. The reported incident took place on 10/12/2023. The UIR documented an incident where a child jumped to grab a monkey bar ring, fell on the sand, landed on their bottom, and braced the fall with their arm/wrist. The incident resulted in the child receiving medical attention the next day.

During today's visit, LPA investigated the outdoor play area where the incident took place, Center Director was interviewed, a tour/census was taken, and the following was discussed and/or observed.

This was a self reported incident by the facility. During today's inspection, LPA observed the monkey bars to be lowered which provides children with a more safe landing distance. Center Director stated that the work for lowering the monkey bars was completed during the week of 10/23/2023. LPA also observed the playground's sand to have adequate cushion. Center Director stated that the sand was rotattelled in order to give children extra cushion in which was completed on 12/21/2023.

Director also stated that the incident was visually supervised by all teachers that were outside during the time of the incident.

Based on the information obtained, there appeared to be no violations of Title 22 Regulations pertaining to the reported incident at this time. LPA conducted an exit interview with Center Director Mariana Mitroi, and provided a copy of this report. A Notice of Site Visit was issued and must remain posted for the next 30 days.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Raymond Moorehead
LICENSING EVALUATOR SIGNATURE: DATE: 01/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/03/2024
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