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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364846219
Report Date: 05/28/2024
Date Signed: 05/28/2024 04:43:30 PM

Document Has Been Signed on 05/28/2024 04:43 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:CARING HEARTS CHILD DEVELOPMENT CENTER LLCFACILITY NUMBER:
364846219
ADMINISTRATOR/
DIRECTOR:		MCHINNTS, SOPHIAFACILITY TYPE:
830
ADDRESS:1558 W BASELINE STTELEPHONE:
(909) 571-5499
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92411
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 8DATE:
05/28/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Sophia MchinntsTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On the date and time listed above a case management visit was completed by Licensing Program Analyst (LPA) Giselle Carbullido due to deficiencies found during the course of another inspection.

1. Infant Care Center Sleeping Equipment 101439(b) - A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib. During today’s tour at 1:34PM, LPA observed a non-walking/crawling infant sleeping on a pillow round on the carpet. See LIC809D for deficiency cited.
LPA Carbullido informed licensee facility representative Sophia Mchinnts that this report dated 05/28/24 document(s) one 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.
Also, LPA Carbullido informed the facility representative to provide a copy of this licensing report dated 05/28/2024 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.
The facility representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights.
An exit interview was conducted, a copy of this report and Notice of Site Visit were provided to the facility Representative. LPA observed the Notice of Site Visit form was posted by staff. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THREE YEARS.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Giselle Carbullido
LICENSING EVALUATOR SIGNATURE: DATE: 05/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2024
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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Document Has Been Signed on 05/28/2024 04:43 PM - It Cannot Be Edited


Created By: Giselle Carbullido On 05/28/2024 at 03:01 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: CARING HEARTS CHILD DEVELOPMENT CENTER LLC
FACILITY NUMBER: 364846219

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/29/2024
Section Cited
CCR
101439(b)

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Infant Care Center Sleeping Equipment 101439(b) - A crib or portable-crib meeting United States Consumer Product Safety Commission safety standards shall be provided for each infant who is unable to climb out of a crib. This requirement is not met as evidenced by:
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Facility Director agrees to submit proof of signed acknowledgment(s) (LIC9224's) and a written statement of understanding on CCR regulation 101439(b) to the department by POC due date 05/29/24.
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 Based on observation the licensee did not comply with the section cited above in that at 1:34PM, LPA observed a non-walking/crawling infant sleeping on a pillow round on the carpet which poses/posed an immediate health, safety or personal rights risk to persons 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:Gilbert Sena
LICENSING EVALUATOR NAME:Giselle Carbullido
LICENSING EVALUATOR SIGNATURE:
DATE: 05/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/28/2024


LIC809 (FAS) - (06/04)
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