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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364830879
Report Date: 07/09/2024
Date Signed: 07/09/2024 09:58:20 AM

Document Has Been Signed on 07/09/2024 09:58 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:FUSD/GATEWAYFACILITY NUMBER:
364830879
ADMINISTRATOR/
DIRECTOR:		DARCY WHITNEYFACILITY TYPE:
850
ADDRESS:9680 CITRUS AVENUETELEPHONE:
(909) 357-5143
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 12DATE:
07/09/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Darcy WhitneyTIME VISIT/
INSPECTION COMPLETED:
10:05 AM
NARRATIVE
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On this time and date, Licensing Program Analyst (LPA) Aman Lama arrived at the facility to conclude a case management incident report from visits to the facility on: 05/21/24 and 06/07/24. LPA was granted access into the facility and met with the program administrator, Darcy Whitney.

On 05/20/24, Community Care Licensing (CCLD) received a phone call of a self-reported incident. The incident involves several alleged violation of children's rights.

LPA conducted interviews with pertinent parties, collected documentation and made observations all pertaining to the incident reported. LPA has found that children's rights are being violated at the facility. Please see LIC809D for more information.

Exit interview was conducted with program administrator, Darcy Whitney, and a notice of site visit was issued. The Notice of Site must be posted for 30 consecutive days from this date.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE: DATE: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2024
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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Document Has Been Signed on 07/09/2024 09:58 AM - It Cannot Be Edited


Created By: Aman Lama On 06/25/2024 at 02:41 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FUSD/GATEWAY
FACILITY NUMBER: 364830879

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/10/2024
Section Cited
CCR
101223(a)(3)

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(a)The licensee shall ensure that each child is accorded the following personal rights:(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to:
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Facility has began more frequent observations of the classroom, and spoke with the staff violating personal rights of children. Facility has also begun coaching the staff. Additionally, facility agrees to enroll staff in a training pertaining to how to properly care for children. Proof of enrollment is due
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interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. During staff interviews and LPA's own observation, LPA discovered that children's rights were being violated in more than one instance. This is an
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by POC due date.



immediate risk to the health and safety of children in care.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Gilbert Sena
LICENSING EVALUATOR NAME:Aman Lama
LICENSING EVALUATOR SIGNATURE:
DATE: 07/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/09/2024


LIC809 (FAS) - (06/04)
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