HIGHLANDS RECREATION DISTRICT

Type B citation from complaint investigation - potential risk if not corrected

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 10/24/2023 at 8:55AM. Licensing Program Analyst (LPA) Luis J. Gomez met with Assistant Director, Stacy Ahlf for compliant inspection. Purpose of this report is case management to cite for deficiencies observed during complaint inspection. Present was the director, and 9 staff supervising 24 children. LPA inspected facility, indoors and outdoors, for health and safety hazards. During inspection, LPA interviewed facility staff, observations, and reviewed facility records. At 9:00AM., Based on observations and interviews, LPA confirmed accessible cleaning solution, spray bottle, in the Tiger classroom. Based on today’s inspection, deficiencies were observed in the areas evacuated according the Title 22 Division 12 of Ca. Code of Regulations and cited on the 809D. An exit interview, appeal rights, and plan of correction was discussed with Director, Linda Friedlin. A copy of this report with the appeal rights was provided, and signature of this form acknowledges the receipt of these documents. Report was reviewed with Director, Linda Friedlin. Notice of site visit was provided and shall remain posted for 30 days. LPA unable to print report during inspection. Copy of report will be sent to facility. SUPERVISORS NAME: Marie Rodriguez LICENSING EVALUATOR NAME: Luis Gomez LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2023 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: HIGHLANDS RECREATION DISTRICT FACILITY NUMBER: 414001561 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/24/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/27/2023 Section Cited CCR 101238(g) 1 2 3 4 5 6 7101238(g) Building and Grounds: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement was not met as evidenced by: 1 2 3 4 5 6 7Cleaning solution, spray bottle was removed during inspection. 8 9 10 11 12 13 14At 9:00AM., Based on observations and interviews, LPA confirmed accessible cleaning solution, spray bottle, in the Tiger classroom. This poses a potential health and safety risk to 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:Marie Rodriguez LICENSING EVALUATOR NAME:Luis Gomez LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2023

Type B citation - potential risk if not corrected

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 10/24/2023 at 8:55AM. Licensing Program Analyst (LPA) Luis J. Gomez met with Assistant Director, Stacy Ahlf for compliant inspection. Purpose of this report is case management to cite for deficiencies observed during complaint inspection. Present was the director, and 9 staff supervising 24 children. LPA inspected facility, indoors and outdoors, for health and safety hazards. During inspection, LPA interviewed facility staff, observations, and reviewed facility records. At 9:00AM., Based on observations and interviews, LPA confirmed accessible cleaning solution, spray bottle, in the Tiger classroom. Based on today’s inspection, deficiencies were observed in the areas evacuated according the Title 22 Division 12 of Ca. Code of Regulations and cited on the 809D. An exit interview, appeal rights, and plan of correction was discussed with Director, Linda Friedlin. A copy of this report with the appeal rights was provided, and signature of this form acknowledges the receipt of these documents. Report was reviewed with Director, Linda Friedlin. Notice of site visit was provided and shall remain posted for 30 days. LPA unable to print report during inspection. Copy of report will be sent to facility. SUPERVISORS NAME: Marie Rodriguez LICENSING EVALUATOR NAME: Luis Gomez LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2023 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: HIGHLANDS RECREATION DISTRICT FACILITY NUMBER: 414001561 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 10/24/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 10/27/2023 Section Cited CCR 101238(g) 1 2 3 4 5 6 7101238(g) Building and Grounds: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement was not met as evidenced by: 1 2 3 4 5 6 7Cleaning solution, spray bottle was removed during inspection. 8 9 10 11 12 13 14At 9:00AM., Based on observations and interviews, LPA confirmed accessible cleaning solution, spray bottle, in the Tiger classroom. This poses a potential health and safety risk to 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:Marie Rodriguez LICENSING EVALUATOR NAME:Luis Gomez LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2023