Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 330909315
Report Date: 08/16/2016
Date Signed: 08/17/2016 08:12:47 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:V.I.P. TOTSFACILITY NUMBER:
330909315
ADMINISTRATOR:KAREN CALVILLOFACILITY TYPE:
850
ADDRESS:41861 E. ACACIA AVENUETELEPHONE:
(951) 652-7611
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:86CENSUS: 56DATE:
08/16/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Debbie Haney, Site ManagerTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Sharleen Robinson and Licensing Program Manager(LPM) Anita Hise conducted an unannounced Annual site visit. LPA met with Site Manager Debbie Haney toured the facility, both inside and out. Present were 56 Preschool Children. The following was observed:

Room #4 had 07 children under the supervision of 1 staff member.
Room #5A had 10 children under the supervision of 3 staff member
Room #5B had 12 children under the supervision of 1 staff member
Room #6 had 10 children under the supervision of 2 staff member
Room #7A had 05 children under the supervision of 2 staff member
Room #7B had 12 children under the supervision of 2 staff member

The facility is within ratio and capacity. Proper supervision observed. All required notices, forms, and license were posted. The furniture and age appropriate equipment is in good condition. Napping equipment meets licensing requirements. Classrooms have adequate lighting, ventilation and drinking water from water pitchers and water coolers. Storage cubbies are readily available and room accommodate class size. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Hand towels and toilet paper are available. Bathrooms are lighted and have ventilation. All storage containers and trash containers have tight fitting covers and are in good repair. Children bring their own meals, the facility provide snacks. The food service area consist of a kitchen which is clean and free of vermin and of hazards. The menu is posted. Facility has adequate food for snacks. Cleaning supplies are kept in each classroom on a high shelf and are inaccessible to children. See LIC809C for the remainder of the report.
SUPERVISOR'S NAME: Anita HiseTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 782-4950
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2016
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: V.I.P. TOTS
FACILITY NUMBER: 330909315
VISIT DATE: 08/16/2016
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Outdoor play area is physically separated by appropriate fencing. No weapons stored at the facility. Climbing structures are age appropriate and have sufficient sand and wood chips for cushioning. Several shade structures provide sufficient shade to children during outdoor activities. There were no bodies of water. Equipment is age-appropriate. Outdoor play area has an operational drinking fountain and the grounds are free of debris or potential hazards.

LPA reviewed sign-in sheets; first aid supplies and reviewed medication policy and storage. The facility is providing Incidental Medical Services (IMS); the director will provide LPA with the IMS plan within 30 days. Medications are stored in the director’s office in a locked box. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances. Staff CPR and First Aid expire 1/2017. Children records were complete. LPA reviewed Emergency Disaster Plan and the last drills were conducted on 07/29/16. The facility has a functioning carbon monoxide detector.

The Director was asked to update the following documents, if applicable, and submit to licensing
within 30 days:
· LIC 500 Personnel Report (only if changes have been made)
· LIC 610 Emergency & Disaster Plan (only if changes have been made)
· Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule
(only if changes have been made)
· LIC 309 Administrative Organization (only if changes have been made)

The Director was advised:

· Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.
SUPERVISOR'S NAME: Anita HiseTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 782-4950
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2016
LIC809 (FAS) - (06/04)
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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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: V.I.P. TOTS
FACILITY NUMBER: 330909315
VISIT DATE: 08/16/2016
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·AB 978 – Zero Tolerance Related Regulations went into effect January 18, 2011 – In accordance with California Health and Safety Code Section 1596.99(c)/1597.58(c) – it was explained that an immediate $150 Civil penalty will be assessed for each serious violation and a civil penalty of $150 per day per violation will be assessed until corrected.
· AB 2084 - Nutritious Beverages in Child Care Facilities effective January 1, 2012 - was explained that only low-fat or non-fat milk is to be served to children 2 years of age or older; and limit juice to one serving of 100% juice per day; serve no beverages with added sweeteners; and water must be available and accessible to children throughout the day
·AB 2386 – effective 1/1/2015, requires community care facilities to have one or more functioning carbon monoxide detectors that meet specified statutory requirements in the facility and requires the Department to account for the presence of the detectors during inspections
·AB 2236 – increases the amount of civil penalties that may be imposed for a violation that results in the death of, or serious bodily injury or physical injury to, a client.
·HSC 1597.54(h) Incidental Medical Services. Director instructed to visit the CCLD web site at www.ccld.ca.gov ;
·Inaccessibility of hazards must be constantly reassessed depending on the children in care.
·The Director is urged to visit the U.S. Consumer Product Safety Commission webpage or hotline at: (800) 638-2772 & e-mail address at www.cpsc.gov to ensure that equipment used for the day care has not been recalled
·Reporting requirements - LIC624B (6/03) (all changes to the facility must also be reported)
AB 2621 – Public Information effective January 1, 2015 – The Department shall post licensing information for Child Care Facilities on its internet Web site to include:
o The name
o The address for each Child Care Center only
o The status of the license
o The capacity of the license for each Child Care Center only

No deficiency cited, an exit interview was conducted, and a copy of this report was provided to Debbie Haney, Site Manager on this date.

SUPERVISOR'S NAME: Anita HiseTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Sharleen RobinsonTELEPHONE: (951) 782-4950
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2016
LIC809 (FAS) - (06/04)
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