364845577-12-15-2022-09-CC-SLOZ-CM5QL3-20221215111517

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364845577
Report Date: 12/15/2022
Date Signed: 12/15/2022 11:15:20 AM

Document Has Been Signed on 12/15/2022 11:15 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	LEAPS AND BOUNDS		FACILITY NUMBER:	364845577
ADMINISTRATOR:	CINDALL GREEN		FACILITY TYPE:	840
ADDRESS:	17210 SLOVER AVENUE		TELEPHONE:	(909) 904-7200
CITY:	FONTANA	STATE: CA	ZIP CODE:	92337
CAPACITY:	39	CENSUS: 0	DATE:	12/15/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	07:45 AM
MET WITH:	Cindall Green		TIME COMPLETED:	11:30 AM

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	Licensing Program Analyst (LPA), Samuel Lopez arrived at the facility to conduct a Case Management inspection due to the request submitted for a decrease in capacity. The facility is requesting to decrease the School Age program capacity from 39 to 26. The days and hours of operation will remain the same: Monday through Friday; 6:30am to 6:30pm. LPA Lopez toured the facility and measured (2) Rooms which includes Room 114, that are assigned to the School Age Program. Based on the measurements taken, the following was determined: School-Age Indoor Activity Areas LPA has determined that there is sufficient space to accommodate 27 children. School-age Bathroom Fixtures 3 toilets x 15 = 45 children 2 sinks x 15 = 30 children School-Age Outdoor Activity Area: LPA has determined that there is sufficient space to accommodate 19 children. * There is an existing waiver for playground use on an alternate schedule basis* Limiting factor for school-age capacity is the classroom's square footage. School-age capacity is limited to 26 children.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022

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: LEAPS AND BOUNDS	FACILITY NUMBER: 364845577
	VISIT DATE: 12/15/2022

NARRATIVE

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The following was observed:
· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Playgrounds are enclosed by appropriate fences
· Outdoor activity areas are supplied with age and size appropriate equipment
· Adequate shade is provided
· A review of staff associations records on 12/15/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:
1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200

No cited deficiencies during today's inspection.

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.

Exit interview conducted and report was reviewed with the Director Cindall Green.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2022

LIC809 (FAS) - (06/04)

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