<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191595072
Report Date: 08/04/2023
Date Signed: 08/04/2023 12:36:18 PM


Document Has Been Signed on 08/04/2023 12:36 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 UNITED CHURCH OF CHRIST, EARLY CHILDHOODFACILITY NUMBER:
191595072
ADMINISTRATOR:KNIGHT, KRISTYFACILITY TYPE:
830
ADDRESS:233 W. HARRISONTELEPHONE:
(909) 624-2916
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:32CENSUS: 26DATE:
08/04/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Kristy KnightTIME COMPLETED:
12:30 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 8/4/2023, Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced required Annual inspection. LPA met with Director, Kristy Knight. At 9:20 AM LPA was guided on a tour of the facility indoors and outdoors. This is an infant program licensed for 32 children, which operates Monday through Friday from 7:00 AM to 6:00 PM. Per the Director, there are 34 children currently enrolled at different schedules.

The following classrooms were inspected: Infant room had 9 infants in care ages 0-12 months with 4 staff members, 2 toddler classrooms, one classroom had with 7 children with 3 staff members and the other had 10 children with 3 staff members, ages 12 months- 24 months. Staff is fingerprint cleared. Infant classroom is located near the front office inside the building and the 2 toddler classrooms are located right off of the toddler playground. 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. Licensed facility is within the conditions, limitations, and capacity specified on the license. Infant and Toddler classroom is currently part of a church and currently holds a preschool license as well.

The classroom furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. Indoor classrooms was inspected to ensure that the floors have a surface that is safe and clean. Telephone service, heating, lighting, and ventilation were evaluated. Storage for infants’ belongings and napping equipment/cribs were inspected and meet all regulatory requirements. Availability of drinking water was reviewed and per Director the classroom provides water with a filtered jug. The children have their own sippy cups and bottles with their names written on them. Changing table pads have raised sides at least three inches high and is within an arm’s reach of a hand washing sink. Toys observed to be clean and in good repair.

Carbon monoxide detectors and smoke detectors are present in the facility. Fire extinguishers are serviced annually and was last serviced December 21, 2022. Storage cabinet in classrooms were locked and hazardous items including poisonous cleaning compounds were stored inaccessible to children. Emergency disaster drill was last conducted on 07/2023. There is a First Aid kit available inside the classroom; the supplies were inventoried and found to be in good condition.

Page 1 of 4

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 08/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/04/2023
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 4


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 UNITED CHURCH OF CHRIST, EARLY CHILDHOOD
FACILITY NUMBER: 191595072
VISIT DATE: 08/04/2023
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
26
27
28
29
30
31
32
Children bring their own bedding, which are sent home at the end of each week to be laundered. Storage for children's belongings was reviewed. Food preparation areas which are in each classroom were toured for safety, cleanliness, and proper equipment. Bottles, dishes, and containers were labeled with infants’ names; dates were visible on all children's bottles and other refrigerated items. Snack is provided by the facility and parents bring lunch for the children. Parents provide formula for their child.

LPA reviewed the 15-minute log for children 0-24 months, which is done on a form for each child. LPA consulted with Director regarding the IMS procedures and advised to review PIN 22-02-CCP Best Practices related to the Provision of Incidental Medical Services in Child Care Centers. LPA and Director discussed Safe Sleep Plan to be filled out by parents, which is being implemented for children who begin the program under the age of 12 months.

The following was discussed with the Director: Pacifiers should not be attached to children while sleeping
Smoking is prohibited. No infant walkers, no Johnny Jumpers, no baby saucers, or any other item that falls into that category are allowed in facility.

The Director was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed. LPA provided Director with Safe Sleep PIN 20-24-CCP.

The facility provides am and pm snack and it is prepared in each classroom that had a fridge and microwave. Lunch is provided by parents. Snack menu is posted in each classroom on the fridge for parents to view.

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 a soft mat. There is adequate shade in the play yard with a tented canopy. There is enough equipment for the children to use in the play yard. The playground is in the center of the facility, so the school building is surrounding the playground and on one side, a wooden gate surrounds the remaining playground. The staff check the area for any harmful objects prior to children playing in the play area.


Page 2 of 4
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2023
LIC809 (FAS) - (06/04)
Page: 2 of 4
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 UNITED CHURCH OF CHRIST, EARLY CHILDHOOD
FACILITY NUMBER: 191595072
VISIT DATE: 08/04/2023
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
26
27
28
29
30
31
32
Sign in and out sheets were reviewed for times and full signatures of parents kept in each child’s cubby. For easy access and parents are reminded of the importance of signing in and out each day that their child is present at the facility.
LPA reviewed staff records and 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 Director and staff currently have immunization documentation.

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.

Per Director there are no children currently taking medication but if in the future there were then medication is kept in the refrigerator and with authorized form and original packaging. IMS plan is available in the child’s file. Per Director there are no children currently who have an IMS Plan. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

LPA advised Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.



Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Page 3 of 4

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
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 UNITED CHURCH OF CHRIST, EARLY CHILDHOOD
FACILITY NUMBER: 191595072
VISIT DATE: 08/04/2023
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
26
27
28
29
30
31
32
To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Based on the LPA’s observations and records reviews, no citations are being issued at this time.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and a copy of the report, along with appeal rights were provided to Director, Kristy Knight.

Page 4 of 4

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4