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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 053620591
Report Date: 05/22/2019
Date Signed: 05/22/2019 11:02:04 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:REFUGE CHRISTIAN PRESCHOOLFACILITY NUMBER:
053620591
ADMINISTRATOR:MCCAMEY, CONNIEFACILITY TYPE:
850
ADDRESS:642 MURPHYS GRADE RDTELEPHONE:
(209) 736-2035
CITY:ANGELS CAMPSTATE: CAZIP CODE:
95222
CAPACITY:24CENSUS: 16DATE:
05/22/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Connie McCameyTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Jeremey McClain met with Director Connie McCamey for an unannounced Licensee Initiated Case Management Inspection. Upon arrival, LPA observed 16 children, supervised by three staff members.
The licensee has requested to decrease her current preschool capacity to 18 and add a toddler component for six toddlers to the preschool license. The total capacity will remain at 24. The facility is using a room that was previously licensed but had not been in use. LPA measured the room to have 281.05 square feet of active space, which will accommodate the requested capacity of six toddlers.
The facility will utilize the changing table in the staff bathroom for diapering needs of children. LPA explained that children must be accompanied to the bathroom by a staff member, and that the bathroom may not be used for changing while it is occupied by other staff.
LPA observed age appropriate toys and equipment, as well as sufficient napping mats. Cubbies are available for storage.
Director understands that toddlers are not allowed to commingle with preschool children outside of the 1st and last hour of operation. LPA explained that if toddlers and preschoolers share the same space within the 1st and last hour of operation, a ratio of 1 to 6 must still be followed. Director also understands that parents must agree to place their children in the toddler classroom, and a copy of the agreement must be kept on file.
As of today, the Director’s request to add a toddler component to the preschool license for six toddlers is approved.
LPA did not observe any violations of Title 22 Regulations during today’s inspection.
This report was reviewed with the license. LPA provided a Notice of Site Visit, which must remain posted for 30 days.
SUPERVISOR'S NAME: Keven PetersTELEPHONE: (916) 263-5728
LICENSING EVALUATOR NAME: Jeremey McClainTELEPHONE: (916) 216-7801
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2019
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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