013421979-8-11-2021-52-CC-CCHS-C5SRQM-20210811131346

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421979
Report Date: 08/11/2021
Date Signed: 08/11/2021 01:13:53 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	VALLEY CHRISTIAN PRESCHOOL		FACILITY NUMBER:	013421979
ADMINISTRATOR:	JARIN, RINA		FACILITY TYPE:	830
ADDRESS:	7500 INSPIRATION DR		TELEPHONE:	(925) 560-6235
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	24	CENSUS: 11	DATE:	08/11/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Rina Jarin		TIME COMPLETED:	01:20 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	08/11/2021, approximately 9:45am, Licensing Program Manager Chandra Charles met with Center Director, Rina Jarin, for a UNANNOUNCED 1 YEAR REQUIRED INSPECTION of the Infant / Toddler component of this combination day-care center. The inspection began at 10:00 am which was conducted with the Director. Present were 11 infant children and 5 staff personnel. The infant/ toddler program operates between the hours of 7:00am to 6:00pm, Monday thru Friday. CLASSROOMS: There are 2 classrooms being utilize for the Infant program which are Room 11 and Room 12. LPM Charles, observed the rooms to be clean, safe, sanitary and in good repair. All storage areas for poisons are locked. The rooms are equipped with a dual carbon monoxide detector and smoke detector. The main facility as fire extinguishers and pull down alarm devices. All children are under visual supervision by staff members. Teacher-child ratio was observed. Bottles, dishes, and containers of food brought from home are labeled with infant's name and the current date. Infant changing tables are within reach of a sink. There are adequate play and learning materials available. Furniture and equipment is age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting. There are working telephones on site. There is proper individual storage space for each child's belonging. The children take naps at this facility. The isolation area for sick children is in the office. OUTDOOR/INDOOR PLAY AREAS: The children's outside play area is completely fenced which separates the infant / toddlers from the other day-care children. There are no bodies of water accessible to children. There are age appropriate toys and materials for the children. See LIC 809 C for additional information

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: VALLEY CHRISTIAN PRESCHOOL	FACILITY NUMBER: 013421979
	VISIT DATE: 08/11/2021

NARRATIVE

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RECORDS: Approximately 10:15am LPM requested staff and children facility files. All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. (6) Staff files were reviewed. (6) Children's files were reviewed. All files reviewed are in compliance with the Title 22 Regulations. Infants feeding plan, Needs and Services and Infant Individual Sleeping plan were reviewed. Director's CPR and First Aid certificates are current and expires on 02/18/2022. Mandated Reporter Training was discussed and certificates were reviewed. Sign-in and sign-out logs were reviewed to verify census and signatures with time of day. Required forms were posted in a public accessible area in the entrance way to the classroom from the hallway.

HEALTH RELATED SERVICES: This facility is doing (IMS) Incidental Medical Services. The medications is being properly stored at the center. LPM reviewed children's medications. Incidental Medical Services (IMS) - Policy was discussed. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department.
The first aid kit is complete and available in each classrooms.

The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

The Director was reminded to visit our website at www.ccld.ca.gov to get quarterly updates on new laws and regulations.

No deficiencies being cited today Appeal rights were discussed. An exit interview was conducted. A notice of site visit was given and must be posted for 30 days. This report must remain available for public review for 3 years.

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021

LIC809 (FAS) - (06/04)

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