191501334-9-22-2023-33-CC-CTUA-CVWUSP-20230922155040

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191501334
Report Date: 09/22/2023
Date Signed: 09/22/2023 03:51:31 PM

Document Has Been Signed on 09/22/2023 03:51 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	CLAREMONT PRESBYTERIAN CHURCH CHILDREN'S CENTER		FACILITY NUMBER:	191501334
ADMINISTRATOR:	SASKIA(SACHA)LORD		FACILITY TYPE:	850
ADDRESS:	1111 NORTH MOUNTAIN		TELEPHONE:	(909) 626-6261
CITY:	CLAREMONT	STATE: CA	ZIP CODE:	91711
CAPACITY:	48	CENSUS: 30	DATE:	09/22/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:			TIME COMPLETED:	04:00 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	On 9/22/2023, Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced Annual inspection. LPA met with Assistant Directors, Junlie Nguyen and Alexandria Adamson-Chung. Alexandria was there as support for Junlie. LPA was guided on a tour of the facility indoors and outdoors. This is a preschool program licensed for 48 children, which operates Monday through Friday from 7:00 AM to 6:00 PM. The Assistant Directors stated there are 55 children currently enrolled on various schedules. The facility is located on the same campus as the Claremont Presbyterian Church. The preschool center is right next door to the infant program that is also licensed. The following classrooms were inspected: Preschool 3’s which had 12 children in care ages 3 to 4 years-old with 2 staff members who are fingerprint cleared. Sunshine room had 5 children in care ages 2 ½ to 3 years-old with 3 staff who are fingerprint cleared. Busy Bees had 13 children in care ages 3 ½- 5 years old with 4 staff members who are fingerprint cleared. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. All children were observed to be under supervision, including visual supervision, however there are 3 toilets which are located right outside of the children's classrooms within the facility. LPA observed that staff were standing nearby but did not have direct supervision of at least 2 children using the restroom. LPA advised Assistant Directors that staff need to always have direct supervision of children. Licensed facility is within the conditions, limitations, and capacity specified on the license. The classroom furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. Indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. Telephone service, heating, lighting, and ventilation were evaluated. Storage for children’s belongings and napping equipment was inspected and meet all regulatory requirements. Children bring their own bedding, which are sent home at the end of each week to be laundered. Availability of drinking water was reviewed and per Page 1 of 4

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023

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 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CLAREMONT PRESBYTERIAN CHURCH CHILDREN'S CENTER	FACILITY NUMBER: 191501334
	VISIT DATE: 09/22/2023

NARRATIVE

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Assistant Directors the parents provide water from home and refills are available with a filter waterspout attached to the faucet. Facility has 3 child size toilets and one additional toilet, located in the Busy Bee classroom. Toys and surfaces are observed to be safe and clean. Staff restroom is available near the main lobby of the infant center, in the break room and church hallway.

Kiddie combo Carbon monoxide and smoke detectors were present in the facility, tested and found to be operable. Fire extinguishers are serviced annually and were last serviced 9/22/2022. Per Assistant Directors the fire department come annually to service, but they will be calling to inquire when they will be visiting and conducting their fire extinguisher inspection. Storage cabinets in classrooms were inspected and no hazardous items were found, cleaning items were located on the top shelves of each classroom and inaccessible to children in care. No poisonous cleaning compounds were found in the childcare center. Emergency disaster drill was last conducted on 08/2023. There is a First Aid kit available inside each classroom; the supplies were inventoried and found to be in good condition.

Food preparation areas were toured for safety, cleanliness, and proper equipment. Cups, dishes, and containers were available and lunch boxes were stored inside the refrigerator with children’s names. AM and PM snacks are served by the facility and lunch is provided by parents. Menu is posted in the main lobby of the facility and provided on the monthly newsletter. LPA observed parent board with all required documentation. Classrooms also have parent boards available.

LPA was informed that there are currently 3 children on medications and IMS documentation was reviewed and medication inventoried. LPA advised Assistant Directors of procedures and medication which is currently stored in the kitchen area out of reach of children in a locked box.

Outdoor playground equipment is in safe condition, free of sharp, loose, or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under climbing equipment, slides, and similar equipment are cushioned with sand. LPA issued a Technical Advisory regarding the playground area and advised that the sand be raked and inspected every morning in the common areas. The enclosed sand box should be covered. Assistant Directors stated that she believes the sand box is covered every night. LPA suggested that areas with bigger rocks near the big tree in the playground be removed or covered with dirt. Assistant Directors stated that supervision of the area where bigger rocks are located, that staff position themselves to supervise for safety. There is adequate shade in the play yard with trees and a canopy. There is enough equipment for the children to use in the play yard.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023

LIC809 (FAS) - (06/04)

Page: 2 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CLAREMONT PRESBYTERIAN CHURCH CHILDREN'S CENTER	FACILITY NUMBER: 191501334
	VISIT DATE: 09/22/2023

NARRATIVE

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Area is gated with chain link fence at least 6 feet tall and staff check the area for any harmful objects prior to children playing in the play yard.

Sign in and out is done electronically using ProCare and per Assistant Directors is able to print a report for review. Parents use a QR code record the time of the day signing in/out their child. It also has information on adults authorized to pick up children.

Licensing staff reviewed staff records and found that they were complete. Clearance for adults and verification of CPR/First Aid, current mandated reporting certificates, educational requirements and health preventative practices documentation was reviewed. Children’s records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. The Assistant Director and staff currently have immunization documentation.

Assistant Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018, any person who works in a childcare facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers. LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023

LIC809 (FAS) - (06/04)

Page: 3 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CLAREMONT PRESBYTERIAN CHURCH CHILDREN'S CENTER	FACILITY NUMBER: 191501334
	VISIT DATE: 09/22/2023

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and
administrative records.

For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

Assistant Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

The deficiency listed on the following page were observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Assistant Director, Junlie Nguyen.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023

LIC809 (FAS) - (06/04)

Page: 4 of 5

Document Has Been Signed on 09/22/2023 03:51 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CLAREMONT PRESBYTERIAN CHURCH CHILDREN'S CENTER	FACILITY NUMBER: 191501334
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/22/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101229(a)(1)

Responsibility for Providing Care and Supervision

(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) 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 is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in 2 children were observed to not be in direct supervision of the staff, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/29/2023
	Plan of Correction
1 2 3 4	Per Assistant Director they will be speaking to each staff memebr, as well as have a staff meeting individually or as a group. LPA will require an agenda and signatures of each staff member that attended the meeting.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023

LIC809 (FAS) - (06/04)

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