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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700637
Report Date: 10/29/2024
Date Signed: 10/29/2024 02:06:13 PM

Document Has Been Signed on 10/29/2024 02:06 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:EES- VISTA ACADEMY STATE PRESCHOOLFACILITY NUMBER:
376700637
ADMINISTRATOR/
DIRECTOR:		CLARISSA TANORIFACILITY TYPE:
850
ADDRESS:600 NORTH SANTA FE AVENUETELEPHONE:
(760) 941-1106
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 19DATE:
10/29/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Areli Sandoval, DirectorTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On October 29, 2024 at 12:30PM, Licensing Program Analyst (LPA) William Chancellor arrived unannounced to the facility to conduct a case management regarding an unusual incident report received on 10/15/24. The incident involved a child (C1) falling off a play structure on the playground, requiring medical attention for a fractured arm. LPA met with Director (DIR) Areli Sandoval, stated the reason for the visit and conducted a tour of the facility. Appropriate ratios and supervision were observed.

During the visit, LPA conducted interview's with two staff (S1- S2), Child 1 (C1), made observations of the playground and collected documents regarding the incident. Interview and records reviewed, revealed that staff were in ratio at the time of the incident and S2 witnessed the incident. Three of three interviews corroborated that C1 fell off the "large steps" part of the structure, falling down, onto their arm.

Facility notified the parents immediately and child obtained medical attention the next day. To improve the supervision of children when on the playground structure, staff were provided training regarding zones and one-at-a- time climbing. Based on the information gathered, LPA is unable to determine if the facility is not in violation of Title 22 Regulations at this time. The following documents are pending review by Community Care Licensing (CCL): playground structure manual confirming age restrictions and a previous Waiver approved by CCL: San Diego Regional Office.

An exit interview was conducted, a copy of this report, LIC 811 (Confidential Names List) and appeal rights were reviewed with and provided to Director Areli Sandoval. A notice of site visit was also provided and must remain posted for 30 days.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE: DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2024
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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