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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845370
Report Date: 10/20/2020
Date Signed: 10/20/2020 03:00:23 PM

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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:KIDDIE ACADEMYFACILITY NUMBER:
364845370
ADMINISTRATOR:PAMELA FOXFACILITY TYPE:
850
ADDRESS:15861 POMONA RINCON RDTELEPHONE:
(909) 529-6661
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:144CENSUS: 43DATE:
10/20/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:21 AM
MET WITH:Pamela FoxTIME COMPLETED:
12:03 PM
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Due to COVID-19, a tele-inspection was conducted. On 10/20/2020, Licensing Program Analyst (LPA) Kim Leung met with director Pamela Fox via FaceTime conducting a case management inspection. Licensee has requested to convert Room 7, one of the preschool activity rooms, into a child care room for school-age children and decrease the capacity from 144 children to 120 children. Licensee has also requested to remove the Pre K Playground from this preschool license and reassign the playground to the school-age program.

During this inspection, the director guided LPA on a virtual tour, inside and out. Census was taken and staff members' criminal record clearances were verified.

Indoor Activity Areas
Measurements of Rooms 3, 4, 5, 6, and 8 were taken during the prelicensing inspection on 1/23/2019. Per the measurements on file, LPA has determined that there is sufficient space to accommodate 120 children.

Bathroom Fixtures
10 toilets x 15 = 150 children
15 sinks x 15 = 225 children
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2020
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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: KIDDIE ACADEMY
FACILITY NUMBER: 364845370
VISIT DATE: 10/20/2020
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Outdoor Activity Area
Measurements of the Main Playground were taken during the prelicensing inspection on 1/23/2019. Per measurements on file, LPA has determined that there is sufficient space to accommodate 96 children only. A waiver is on file allowing scheduled use of the playground. The waiver is to be modified to allow no more than 96 children on the playground at the same time.

No deficiency was cited during this inspection.

Since Room 7 has been converted into a school-age child care room and is no longer used by preschool children, the capacity of this preschool program is changed to 120 children, ages 2 to kindergarten, effective this date on 10/20/2020. Director agreed to submit LIC200A Application Form with the correct age range. An exit interview was conducted with Ms. Fox, LPA provided the director with a copy of this report via email this date on 10/20/2020. Director agreed to acknowledge receipt of the email. An electronic “read receipt” was also attached. The electronic read receipt of the emailed report acknowledges receipt of this report.

This report must be made available at the facility for 3 years for public review upon request.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 10/20/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2020
LIC809 (FAS) - (06/04)
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