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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700354
Report Date: 07/31/2024
Date Signed: 07/31/2024 12:37:04 PM

Document Has Been Signed on 07/31/2024 12:37 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 CENTER-INFANTFACILITY NUMBER:
376700354
ADMINISTRATOR/
DIRECTOR:		PLANT, LISAFACILITY TYPE:
830
ADDRESS:3766 MISSION AVENUE #110TELEPHONE:
(760) 439-5552
CITY:OCEANSIDESTATE: CAZIP CODE:
92058
CAPACITY: 13TOTAL ENROLLED CHILDREN: 13CENSUS: DATE:
07/31/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Facility Representative Evelyn Avila TIME VISIT/
INSPECTION COMPLETED:
01:34 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 immunization's and has agreed to submit by Close of Business, August 09, 2024, to CCLD.

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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