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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845576
Report Date: 05/03/2022
Date Signed: 05/03/2022 01:50:10 PM

Document Has Been Signed on 05/03/2022 01:50 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:LEAPS AND BOUNDSFACILITY NUMBER:
364845576
ADMINISTRATOR:CINDALL GREENFACILITY TYPE:
850
ADDRESS:17210 SLOVER AVENUETELEPHONE:
(909) 904-7200
CITY:FONTANASTATE: CAZIP CODE:
92337
CAPACITY: 60TOTAL ENROLLED CHILDREN: 55CENSUS: 28DATE:
05/03/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:41 AM
MET WITH:Assistant Director Melissa KepnerTIME COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analyst (LPA), Samuel Lopez arrived at the facility to conduct a Case Management inspection to identify and measure the rooms assigned to the Preschool Program.
The days and hours of operation are Monday through Friday; 5:00am to 7:00pm.

LPA Lopez toured the facility and measured the rooms (Classrooms #104 and #108) that are assigned to the Preschool Program. Based on the measurements taken, the following was determined:

Preschool Indoor Activity Areas
LPA has determined that there is sufficient space to accommodate 47 children.
* Please note that there is a waiver for sharing school age classroom #114, which allows an additional 13 children, when school age children are not present. At that time, the total capacity allowed for preschool, when school age are not in classroom #114, is 60 children

Preschool Bathroom Fixtures
2 toilets and 1 urinal x 15 = 45 children (+ 1 toilet in classroom #114) = and additional 15 children
5 sinks x 15 = 75 children

Preschool Outdoor Activity Area:
LPA has determined that there is sufficient space to accommodate 92 children.

Limiting factor for Preschool capacity is the Fire Clearance (5/8/2019) previously issued and existing waiver for sharing classroom #114. Capacity was verified to be, as previously licensed, and limited to 60 children.

ยท A review of staff records on 5/3/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: LEAPS AND BOUNDS
FACILITY NUMBER: 364845576
VISIT DATE: 05/03/2022
NARRATIVE
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During today's inspection, LPA Lopez observed a child walk from classroom #108 to #102, without being accompanied by staff. Classroom #102, which is assigned to School Age children, was being utilized for Preschool children before being moved to their assigned classroom. As LPA Lopez continued to tour the facility, while in classroom #108, LPA Lopez observed a child in the restroom, without staff having direct line visual supervision. Minutes later, another child was observed heading to the restroom without staff knowledge until LPA Lopez brought it up to their attention.

See LIC 809-D for cited deficiency.

LPA Lopez informed Assistant Director Melissa Kepner that this report dated May 3, 2022 document(s) (1) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



Also, LPA Lopez informed the Assistant Director Melissa Kepner to provide a copy of this licensing report dated May 3, 2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Assistant Director Melissa Kepner.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022
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Document Has Been Signed on 05/03/2022 01:50 PM - It Cannot Be Edited


Created By: Samuel Lopez On 05/03/2022 at 12:17 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: LEAPS AND BOUNDS
FACILITY NUMBER: 364845576

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/04/2022
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision: No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
This requirement was not being met as
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Licensee agrees to meet with staff and discuss better practices to assure children are supervised at all times. Licensee is to submit a copy of the agenda, regarding the topics discussed, along with a sign in sheet of staff present, to the Riverside Child Care Regional Office by 5/4/2022.
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evidenced by the observation made of a child walking, on their own, from one classroom to another and a child using a restroom, without staff supervision. This poses an immediate risk to the Health, Safety, and Personal rights of the 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:Aaron Ross
LICENSING EVALUATOR NAME:Samuel Lopez
LICENSING EVALUATOR SIGNATURE:
DATE: 05/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/03/2022


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