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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700353
Report Date: 07/31/2024
Date Signed: 07/31/2024 01:04:10 PM

Document Has Been Signed on 07/31/2024 01:04 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:KIDDIE ACADEMY CHILDCARE LEARNING CENTERFACILITY NUMBER:
376700353
ADMINISTRATOR/
DIRECTOR:
PLANT, LISAFACILITY TYPE:
850
ADDRESS:3766 MISSION AVENUE #110TELEPHONE:
(760) 439-5552
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY: 126TOTAL ENROLLED CHILDREN: 126CENSUS: 71DATE:
07/31/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Facility Representative Evelyn Avila TIME VISIT/
INSPECTION COMPLETED:
01:35 PM
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On 0731/2024 at 9:30 am, Licensing Program Analysts (LPA) Kelly Gerth and Sumayya Habeebulla arrived unannounced at the facility and met with Facility Representative Evelyn Avila to conduct a plan of correction visit from the annual inspection conducted on 06/25/2024.

As of the date and time of this visit, the Plan of Correction for deficiency 101215.1(b) All childcare centers shall have a director, has not been met as evidenced by:

Directors’ qualifications missing: Correct document for Proof of Immunization was not provided during the visit.

Facility Representative, Evelyn Avila requested an extension to submit proof of immunizations and has agreed to submit by Close of Business, August 09, 2024, to CCLD.

As of the date and time of this visit, the Plan of Correction for deficiency 101238.2(d) Outdoor Activity Space (d) The surface of the outdoor activity space shall be maintained:

This POC has not been met as evidenced by: Observation during the tour of the facility and interview with Facility Representative. Facility Rep stated a work order has been placed to repair/replace the rubber floor surface for the preschool playground and requested an extension until close of business, August 9th, 2024.

An exit interview was conducted with Facility Representative, Evelyn Avila

Appeal Rights were discussed and provided to Facility Representative, Evelyn Avila

A Notice of Site visit was given, Facility Representative, Evelyn Avila was reminded the notice must remain posted for 30 days.

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Kelly Gerth
LICENSING EVALUATOR SIGNATURE: DATE: 07/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/31/2024
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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