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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846054
Report Date: 12/20/2022
Date Signed: 12/20/2022 04:29:28 PM

Document Has Been Signed on 12/20/2022 04:29 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
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:REDLANDS CHRISTIAN SCHOOLFACILITY NUMBER:
364846054
ADMINISTRATOR:KIM SMITHFACILITY TYPE:
850
ADDRESS:131 KANSAS STREETTELEPHONE:
(909) 915-4734
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY: 163TOTAL ENROLLED CHILDREN: 182CENSUS: 12DATE:
12/20/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:32 PM
MET WITH:Director Kim SmithTIME COMPLETED:
04:40 PM
NARRATIVE
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A case management visit is being conducted in response to the receipt of an Unusual Incident Report (UIR) from the facility. The UIR was received by the licensing agency on 12/12/2022. It indicates that on 12/06/2022 at approximately 1:30PM, C1 (from the LIC811) was left alone in the restroom at the facility by S1 (from the LIC811).

Facility records were reviewed and client(s) S2, S3, and S4 were interviewed. Based on the information gathered, the following violations have been identified: 101229(a)(1) Responsibility for Providing Care & Supervision. This was found when it was disclosed that a child was left alone in the restroom after the supervising staff did not properly check the restroom to see if there were any children left inside.

See LIC809D for a cited Type A deficiency of the California Code of Regulations, Title 22, Div. 12. 101229(a)(1).

A civil penalty has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the "California Department of Social Services". YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

Licensing Program Analysts (LPAs) Perla Ordones and Susan Brewer informed Director Kim Smith to provide a copy of this licensing report dated 12/20/2022 that documents any Type A citation 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 Acknowledgment of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted with Director Kim Smith, appeal rights discussed, and a copy of this report was provided to Director Kim Smith.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Perla Ordones
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2022
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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Document Has Been Signed on 12/20/2022 04:29 PM - It Cannot Be Edited


Created By: Perla Ordones On 12/20/2022 at 03:19 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: REDLANDS CHRISTIAN SCHOOL
FACILITY NUMBER: 364846054

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/21/2022
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care & Supervision (a) The licensee shall provide care & supervision... (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.
This regulation was not met as evidenced by:
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Licensee/Director agrees to provide training to staff regarding responsibility for providing care and supervision to children. Licensee/Director agrees to send training agenda and staff sign in sheet to CCL by 12/21/2022. Licensee/Director states that staff member responsible has already been terminated.
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Based on the self reported Unusal Incident by the licensee and interviews conducted where a child was left alone in the restroom at the facility by a teacher's aide on 12/06/2022, which posed an immediate risk to the health and saftey of children in care.
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Proof of training may be sent by fax or e-mail to the community care licensing department.

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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:Kimberly Williams
LICENSING EVALUATOR NAME:Perla Ordones
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2022


LIC809 (FAS) - (06/04)
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