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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844696
Report Date: 08/14/2024
Date Signed: 08/14/2024 04:03:36 PM

Document Has Been Signed on 08/14/2024 04:03 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:VOA SOUTHWEST FONTANA EARLY LEARNING CENTERFACILITY NUMBER:
364844696
ADMINISTRATOR/
DIRECTOR:
GURTIS, ISABELFACILITY TYPE:
850
ADDRESS:14750 LIVE OAK AVENUETELEPHONE:
(909) 743-6565
CITY:FONTANASTATE: CAZIP CODE:
92337
CAPACITY: 225TOTAL ENROLLED CHILDREN: 92CENSUS: 83DATE:
08/14/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Isabel Gurtis, directorTIME VISIT/
INSPECTION COMPLETED:
04:25 PM
NARRATIVE
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Licensing Program Analyst (LPA), Aman Lama conducted an annual inspection. LPA was met with site director, Isabel Gurtis. LPA toured inside and outside, and the following was observed and/or noted:
The following documents are requested to be updated of any changes made, and submit to the Riverside Regional Office (RRO) within 30 days of this report:
1. LIC 500 Personnel Report
2. LIC 610 Emergency & Disaster Plan
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization
5. LIC 308 Designation of Administrative Responsibility

The following items have been posted and are updated where necessary:
- License
- Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148)
- Parent’s Rights Poster (PUB393)
- Personal Rights (LIC613A)
- Child Car Seat Law
- Food menu.
· The facility is not operating within the capacity as stated on the license-SEE LIC809D.
· Ratios were met during this inspection.
· Classrooms are adequately equipped with age and size appropriate furniture and free of hazards.
· There are no weapons present at the facility.
·No accessible bodies of water were observed by LPA at the time of this inspection. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
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: VOA SOUTHWEST FONTANA EARLY LEARNING CENTER
FACILITY NUMBER: 364844696
VISIT DATE: 08/14/2024
NARRATIVE
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·Uncontaminated drinking water was observed, the facility has a water dispenser which is used to refill disposable cups, as needed.
· Hazards are stored where they were inaccessible to children. These include: Disinfectants, cleaning solutions and other items that are dangerous to the health and safety of children in care.
· Poisons and toxins are to be kept locked and were observed inaccessible, per Title 22 Regulations. LPA went over how to read labels and how to determine which go behind a latch and which must be kept behind a key lock.
· All floors were observed clean and safe, and shall remain so at all times.
· Restrooms were observed to be sanitary and in operating condition.
· Playgrounds are enclosed by appropriate fences.
· Outdoor activity areas are in good condition and supplied with age/size appropriate equipment.
· The areas around or under high climbing equipment, swings, slides, and similar equipment were cushioned with material that absorbs a fall.
· Food preparation area is clean, free of litter, rubbish and free of rodents and other vermin.
· Food is stored appropriately and protected from contamination.
· Menus were posted with date included and were placed in a visible location of children’s authorized representatives. Menus shall be kept on file for 30 days, and made available upon request.
· All storage containers for solid waste, including moveable bins have tight-fitting covers that were observed on and in good repair.
· Sign in/Sign out record was reviewed and meets regulation requirements.
· There is at least one closing and one opening staff present with a current CPR/First Aid on file.
· A review of children’s records were found to be complete during this inspection.
· Disaster drills are to be conducted every six months – last drill was conducted on 08/12/24.
· The facility is informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
· A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
· The facility can submit transfer forms to associate or disassociate someone from their facility at: Associations_Disassociations862@dss.ca.gov
· Staff records indicates that staff that were present meet minimum qualifications they were hired for.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
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: VOA SOUTHWEST FONTANA EARLY LEARNING CENTER
FACILITY NUMBER: 364844696
VISIT DATE: 08/14/2024
NARRATIVE
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- The facility is currently providing Incidental Medical Services (IMS). LPA reviewed storage of medications and required documents needed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.

-The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

- The facility was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

- To access on-line Licensing forms & Regulations for a Child Care Center please visit: www.ccld.ca.gov.

- The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at: 951-782-4200



LPA conducted the exit interview and reviewed report with site director, Isabel Gurtis.

A notice of site visit was given, posted, and must remain so for 30 consecutive days.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/14/2024 04:03 PM - It Cannot Be Edited


Created By: Aman Lama On 08/14/2024 at 03:35 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: VOA SOUTHWEST FONTANA EARLY LEARNING CENTER

FACILITY NUMBER: 364844696

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/14/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.2(a)

This requirement is not met as evidenced by:
101238.2 Outdoor Activity Space
(a) There shall be at least 75 square feet per child of outdoor activity space based on the total licensed capacity.
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. LPA observed items from classrooms 1-3 in the outdoor playground, making that entire playground inaccessible. Due to this, there is not 75 square feet available per child of the outdoor activity space based on the total LICENSED capacity. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/19/2024
Plan of Correction
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The facility agrees to submit a waiver request to the department, to operate on a smaller licensed capacity amount. The director also agrees to submit a written understanding of the regulation above. The director stated that they are still looking at the facility being this way for at least another 3 weeks. This is all due to the department no later than the POC due date.
Type B
Section Cited
CCR
101238.3(a)


This requirement is not met as evidenced by:
101238.3 Indoor Activity Space
(a) There shall be at least 35 square feet of indoor activity space per child based on the total licensed capacity.
Deficient Practice Statement
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Based on observation and directors own admission, the licensee did not comply with the section cited above. LPA observed classrooms 1-3 not in operation in the indoor area. Due to this, there is not 35 square feet available per child of the outdoor activity space based on the total LICENSED capacity. The director stated that they are still looking at the facility being this way for at least another 3 weeks. This poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/19/2024
Plan of Correction
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The facility agrees to submit a waiver request to the department, to operate on a smaller licensed capacity amount. The director also agrees to submit a written understanding of the regulation above. This is all due to the department no later than the POC due date.
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: 08/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2024


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