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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372006026
Report Date: 10/24/2023
Date Signed: 10/24/2023 04:13:49 PM

Document Has Been Signed on 10/24/2023 04:13 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:IVEY RANCH PARK DAY CARE/RESPITE CTR. SCHOOL AGEFACILITY NUMBER:
372006026
ADMINISTRATOR:DANIELLY, TONYAFACILITY TYPE:
840
ADDRESS:110 RANCHO DEL ORO ROADTELEPHONE:
(760) 722-4839
CITY:OCEANSIDESTATE: CAZIP CODE:
92056
CAPACITY: 30TOTAL ENROLLED CHILDREN: 9CENSUS: 0DATE:
10/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Tonya DaniellyTIME COMPLETED:
04:20 PM
NARRATIVE
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On day and time listed above, Licensing Program Analyst (LPA) Keely Messerschmidt, made an unannounced Case Management inspection. LPA met with Director Tonya Danielly notifying her the reason of todays visit. There were no children present during the inspection. LPA Keely Messerschmidt interviewed the Director and discussed observed changes to facility license.

After interview with Director it was confirmed that an Adult Day Program was licensed and began operation at the same location as the licensed school-age center. Adult Day Program was licensed in January 2023 and enrollment began in July 2023. See LIC809-D for cited deficiencies.

An exit interview was conducted, a copy of this report, LIC809D and appeal rights were handed to facility Director, Tonya Danielly. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 10/24/2023 04:13 PM - It Cannot Be Edited


Created By: Keely Messerschmidt On 10/24/2023 at 03:33 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: IVEY RANCH PARK DAY CARE/RESPITE CTR. SCHOOL AGE
FACILITY NUMBER: 372006026

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/24/2023
Section Cited
CCR
101161(a)

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Limitations on Capacity: A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This was not met as evidenced by, based on observation and interview, only one classroom is currently being
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Director agrees to submit documentation explaining what the plan is for the child care license as well as a facility sketch to LPA via email by 11/24/23.
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used for school-age with low enrollment numbers and the other school-age classrooms are being used for the Adult Day Program.
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Type B
11/24/2023
Section Cited
CCR101212(c)

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Reporting Requirements:The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space. Such structural changes shall include, but not be limited to, room
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Director agrees to provide a written confirmation that she has reviewed and understands the reporting requirements as stated in Title 22 Regulations to LPA via email by 11/24/23 and will adhere to the regulations moving forward.
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additions. This was not met as evidenced by, based on observation and interview, only one classroom is currently being used for school-age and the other classrooms for the Adult Day Program.
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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:Deborah Mullen
LICENSING EVALUATOR NAME:Keely Messerschmidt
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2023


LIC809 (FAS) - (06/04)
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