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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700353
Report Date: 10/23/2024
Date Signed: 10/23/2024 01:29:31 PM

Document Has Been Signed on 10/23/2024 01:29 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
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: 60DATE:
10/23/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:43 AM
MET WITH:Director Evelyn AvilaTIME VISIT/
INSPECTION COMPLETED:
01:54 PM
NARRATIVE
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 On the date and time above, Licensing Program Analyst (LPA) Kelly Gerth and Licensing Program Manager (LPM) Carlos Martinez arrived unannounced at the facility and met with Director Evelyn Avila to conduct a case management visit. LPA and LPM conducted a tour, took census and reviewed files.

During the visit, LPA reviewed records and observed that some of the staff were not qualified per title 22 regulations.

See 809 D for deficiencies issued.

An exit interview was conducted with Director Evelyn Avila. Appeal Rights were discussed and provided to Director Evelyn Avila

A Notice of Site visit was given, Director 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: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2024
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 10/23/2024 01:29 PM - It Cannot Be Edited


Created By: Kelly Gerth On 10/23/2024 at 01:07 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: KIDDIE ACADEMY CHILDCARE LEARNING CENTER
FACILITY NUMBER: 376700353

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
10/23/2024
Section Cited
CCR
101216.1(b)(2)(b)

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101216.1 (b)(2)(b) Teacher Qualifications and duty.. this requirement was not met as evidenced by:
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Director agreed to submit plan of action until proof of fully qualified teacher for each classroom is provided to CCL, ensuring meeting title 22 regulations, by COB 10/30/24.
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During review of staff files, LPA observed that a staff designated as lead teacher, Staff 2 (S2) did not have the required educational units to meet the qualification of a fully qualified teacher, Missing proof of the following: 3 units of Child, Growth and Development and 3 units of Child, Family and Community
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Request Denied
Type B
10/23/2024
Section Cited
HSC101216.2(e)(1)

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101216.2(e)(1)
Teachers Aide Qualifcations and Duties.. This requirment was not met as evidenced by:
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Director agreed to submit plan of action to ensure classrooms are adequately staffed, to include breaks, lunch and escorting children to and from restroom, to CCL by COB 10/30/2024.
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During review of staff files, LPA observed that staff 3 (S3) and Staff 5(S5) designated as Teachers aids did not have any educational units on file, LPA confirmed that S3 escorts children to restroom and S5 is left alone with children during nap time, where during this visit LPA observed that 2 children were awake.
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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:Carlos Martinez
LICENSING EVALUATOR NAME:Kelly Gerth
LICENSING EVALUATOR SIGNATURE:
DATE: 10/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/23/2024


LIC809 (FAS) - (06/04)
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