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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701308
Report Date: 04/25/2025
Date Signed: 04/25/2025 11:52:26 AM

Document Has Been Signed on 04/25/2025 11:52 AM - 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:MAAC FOOTHILL INFANT CENTERFACILITY NUMBER:
376701308
ADMINISTRATOR/
DIRECTOR:		BRIZLET ANGONFACILITY TYPE:
830
ADDRESS:1410 FOOTHILL DRIVETELEPHONE:
(760) 741-0541
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY: 20TOTAL ENROLLED CHILDREN: 16CENSUS: 15DATE:
04/25/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:38 AM
MET WITH:Brizlet Angon, DirectorTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On the date and time listed, Licensing Program Analyst (LPA) Hayley McCarthy arrived at the facility to conduct a Case Management- Incident follow-up visit on 13 Unusual Incident Report's (UIR's) received by the Department from 02/26/25 to 04/23/25. LPA met with Brizlet Angon (Director) to discuss the incidents. A tour of the facility was granted, and census was conducted.

From 02/26/24-04/23/25, it was self reported that a child (C1) had been biting other children and teachers daily leaving marks and bruises.

LPA interviewed Staff 1 (S1) Staff 2 (S2) and met with director to discuss the incidents. S1 and S2 both stated that the children in the classroom are afraid of C1 to the point of screaming, crying, and clinging to staff. Child 2 (C2)'s parent submitted a complaint to the school reporting that C2 had been having nightmares where C2 yells out C1's name due to fear of C1 biting.

The director stated that the staff have been doing all that they can to keep the other children safe, but it is difficult to keep to keep C1 from biting due to the frequency, impulsiveness and random nature of the incidents.

*Continued on 809-C*
NAME OF LICENSING PROGRAM MANAGER: Deborah Mullen
NAME OF LICENSING PROGRAM ANALYST: Hayley McCarthy
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2025
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 4
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MAAC FOOTHILL INFANT CENTER
FACILITY NUMBER: 376701308
VISIT DATE: 04/25/2025
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The director stated that the facility has attempted to obtain help for C1's behaviors due to the frequency of incidents and concern for the safety of the other children and staff. A meeting was held on 4/18/25 to discuss C1's behaviors and to come up with a plan to support C1 which included the Education Specialist, developmental support specialist, developmental support coordinator, mental health consultant, lead teacher, program aide, and apprentice. Strategies were developed to proactively help C1 with behaviors long term. The plan did not include successful way to prevent other children and teachers from getting bit in the present which leads to consistent health and safety concerns.

During inspection, LPA conducted a review of child records. LPA observed C1 had an Individualized Family Service Plan (IFSP) dated 02/13/2025.

LPA determined that the necessary steps have not been taken to ensure the health and safety of the children in care.

Based on the information gathered, there appears to be a violation of Title 22 Regulations found at this time

See 809-D page for cited deficiency.

An exit interview was conducted, and a copy of this report was provided to Brizlet Angon (Director). A Notice of Site Visit was issued and the Licensee understands that it must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Deborah Mullen
NAME OF LICENSING PROGRAM ANALYST: Hayley McCarthy
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/25/2025 11:52 AM - It Cannot Be Edited


Created By: Hayley McCarthy On 04/25/2025 at 11:16 AM
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: MAAC FOOTHILL INFANT CENTER
FACILITY NUMBER: 376701308

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/25/2025
Section Cited
CCR
101223(a)(2)

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(a) The licensee shall ensure that each child is accorded the following personal rights.

(2) to be accorded safe, healthful and comfortable accomodations... to meet his/her needs.
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Director will have one teacher on a rotation shadowing the child to ensure they do not continue to put the other children in harms way by biting or scratching.
Director will schedule a meeting
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with mom to discuss the seriousness of the childs behavior.

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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.
Deborah Mullen
NAME OF LICENSING PROGRAM MANAGER:
Hayley McCarthy
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2025


LIC809 (FAS) - (06/04)
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