HEMET ELEMENTARY PRESCHOOL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On May 17, 2024, at 09:35 AM, Licensing Program Analyst (LPA) Anastasia Flores arrived unannounced to the facility to conduct a case management visit due to an unusual incident report received in our office on May 10, 2024. The incident involved a child (C1) leaving the gated entrance to the school without supervision. LPA interviewed the teacher, present on the day of the incident that occurred on 4/30/24. It was confirmed that C1 walked out of the gate without staff’s knowledge, another parent witnessed C1 walking without a parent or staff. Parent of C1 observed C1 walking away from the building to the left of the gate, questioned staff why C1 was outside of the gate without supervision. Based on interviews conducted and record review, the Department finds the facility did not ensure supervision was being met resulting in C1 leaving supervision of staff and without being properly signed out for about a minute. The facility is being cited for Title 22, division 12, chapter 1, article 06; section 101229(a)(1) Responsibility for Providing Care and Supervision. Which poses an immediate risk to children in care. See 809-D for cited deficiency. An exit interview was conducted, a copy of this report, appeal rights, were reviewed with and provided to Preschool Principal/Director, Melina Serna. The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00 If the facility receives a Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. SUPERVISORS NAME: Pauline Beschorner LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2024 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 FACILITY NAME: HEMET ELEMENTARY PRESCHOOL FACILITY NUMBER: 334844562 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 05/17/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 05/24/2024 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7101229(a)(1)Responsibility for Providing Care and Supervision; The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by…1 2 3 4 5 6 7Preschool program has changed the dismissal protocal with the children in care. Director will send LPA Flores a letter with the plan of correction that was made prior to the visit on 05/17/24, to be placed in the facility file by 5/24/24. 8 9 10 11 12 13 14Based on record review and interviews, child #1 was out of visual observation from the teachers for at least one to two minutes. This poses an immediate health and safety risk to the children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Pauline Beschorner LICENSING EVALUATOR NAME:Anastasia Flores LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2024

Type A citation - immediate risk to health, safety, or personal rights

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On May 17, 2024, at 09:35 AM, Licensing Program Analyst (LPA) Anastasia Flores arrived unannounced to the facility to conduct a case management visit due to an unusual incident report received in our office on May 10, 2024. The incident involved a child (C1) leaving the gated entrance to the school without supervision. LPA interviewed the teacher, present on the day of the incident that occurred on 4/30/24. It was confirmed that C1 walked out of the gate without staff’s knowledge, another parent witnessed C1 walking without a parent or staff. Parent of C1 observed C1 walking away from the building to the left of the gate, questioned staff why C1 was outside of the gate without supervision. Based on interviews conducted and record review, the Department finds the facility did not ensure supervision was being met resulting in C1 leaving supervision of staff and without being properly signed out for about a minute. The facility is being cited for Title 22, division 12, chapter 1, article 06; section 101229(a)(1) Responsibility for Providing Care and Supervision. Which poses an immediate risk to children in care. See 809-D for cited deficiency. An exit interview was conducted, a copy of this report, appeal rights, were reviewed with and provided to Preschool Principal/Director, Melina Serna. The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00 If the facility receives a Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. SUPERVISORS NAME: Pauline Beschorner LICENSING EVALUATOR NAME: Anastasia Flores LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2024 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 FACILITY NAME: HEMET ELEMENTARY PRESCHOOL FACILITY NUMBER: 334844562 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 05/17/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 05/24/2024 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7101229(a)(1)Responsibility for Providing Care and Supervision; The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by…1 2 3 4 5 6 7Preschool program has changed the dismissal protocal with the children in care. Director will send LPA Flores a letter with the plan of correction that was made prior to the visit on 05/17/24, to be placed in the facility file by 5/24/24. 8 9 10 11 12 13 14Based on record review and interviews, child #1 was out of visual observation from the teachers for at least one to two minutes. This poses an immediate health and safety risk to the children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Pauline Beschorner LICENSING EVALUATOR NAME:Anastasia Flores LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2024