364846374-8-24-2023-09-CC-SLOZ-CUZNPE-20230824103814

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364846374
Report Date: 08/24/2023
Date Signed: 08/24/2023 10:38:34 AM

Document Has Been Signed on 08/24/2023 10:38 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:	EASTERSEALS CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	364846374
ADMINISTRATOR:	SHAYLENE JUDSON		FACILITY TYPE:	830
ADDRESS:	1102 WEST PHILLIPS STREET		TELEPHONE:	(714) 834-1111
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91762
CAPACITY:	32	CENSUS: 0	DATE:	08/24/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:22 AM
MET WITH:	Elizabeth Milligan, Area Director, Child Development Services		TIME COMPLETED:	10:45 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, toured proposed Infant center, inside and out. A Fire Clearance was granted on 3/6/2023. The days and hours of operation will be: Monday through Friday, 7:30am to 5:30pm Measurements were taken and the following was determined: Infant Indoor Activity Areas LPA has determined that there is sufficient indoor activity space to accommodate the requested capacity of 32 children. Infant Bathroom Fixtures 1 toilets x 15 = 15 children (Potty chairs available to meet toilet ratio) 5 sinks x 15 = 75 children Infant Outdoor Activity Area: LPA has determined that there is sufficient outdoor activity space to accommodate the requested capacity of 32 children. Limiting factor for infant capacity is the Fire Clearance granted. Infant capacity is limited to 32 children.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023

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: EASTERSEALS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 364846374
	VISIT DATE: 08/24/2023

NARRATIVE

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The following was observed:
· Classrooms are NOT adequately equipped with age and size appropriate furniture and equipment
· There is a changing table within arm’s reach of a sink
· There is a filtered water dispenser that will supply drinking water in the indoor activity space. Igloos will be filled with water from this dispenser and paper cups will also be made available.
· Playgrounds are enclosed by appropriate fences
· There is no outdoor play equipment at this time
· There are no accessible bodies of water present. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Toxins are locked
· The playground is composed of mostly grass. There are no climbing structures with drop zones, at this time
· Adequate shade is provided by the building and the overhangs
· Drinking water is provided in the outdoor play areas by Igloos filled with filtered water
· Food preparation area is currently under repair. A refrigerator and pantry was observed with sample of food.
· The office area is located at the entrance of the facility and will serve as the isolation area for ill children temporarily until parents arrive
· There is a bathroom located in the hallway (near entrance) that will also be used as the isolation bathroom
· Medication will be stored in a locked box and will be secured in a locked in the front office
· Medication administration forms were reviewed
· First Aid kit is complete
· Sign in/Sign out record was reviewed and meets regulation requirements
· Component II Orientation was completed during the inspection
· Needs and Services plans were reviewed and discussed and must be updated at least quarterly or whenever needed.
· There are sufficient cribs and/or mats for each child
· There is a separate napping area - older infant to nap in activity space (waiver required)
· A review of staff records on 8/24/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023

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: EASTERSEALS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 364846374
	VISIT DATE: 08/24/2023

NARRATIVE

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Applicant/Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The applicant can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov

LPA discussed AB 2370 and provided a copy of PIN 21-21.1-CCP which explains the requirement for lead testing of water. All licensed Child Care Centers operating in buildings constructed before January 1, 2010, shall test their water for lead. Once licensed, facility/licensee will have 180 days to complete.
For more information visit:
https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

This facility plans to provide Incidental Medical Services (IMS). For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed the safe sleep regulations with applicant/facility representative and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPA also informed applicant/facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023

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: EASTERSEALS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 364846374
	VISIT DATE: 08/24/2023

NARRATIVE

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LPA reviewed with applicant/facility representative the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

· The applicant was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov

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

The following items need to be completed/corrected prior to a license being issued:

1. Purchase potty chairs
2. Kitchen construction needs to be completed
3. Stage rooms and playground with toys, equipment, and any other items required to provide care for children
4. Purchase additional food
5. Remove cleaning products/equipment from food storage areas
6. Submit waiver for napping space

Once all corrections have been made, with proof sent to licensing, the application will be submitted for approval with a maximum capacity of 32. As agreed, upon by the applicant, all corrections are due within 30 days. If not received within 30 days from the date of this report, the application will be denied.

Exit interview conducted and report was reviewed with Elizabeth Mulligan, Area Director, Child Development Services

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023

LIC809 (FAS) - (06/04)

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