198004459-10-16-2019-33-CC-BBEL-BGZLFS-20191016084335

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198004459
Report Date: 10/15/2019
Date Signed: 10/16/2019 08:43:42 AM

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:	WESTERN CHRISTIAN SCHOOLS		FACILITY NUMBER:	198004459
ADMINISTRATOR:	CHRISTI NAVARRETTE		FACILITY TYPE:	850
ADDRESS:	3105 PADUA AVE.		TELEPHONE:	(909) 626-1377
CITY:	CLAREMONT	STATE: CA	ZIP CODE:	91711
CAPACITY:	83	CENSUS: 13	DATE:	10/15/2019
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	06:30 PM
MET WITH:	Executive Preschool Director Christi Navarrette		TIME COMPLETED:	07:30 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	An unannounced Case Management-Deficiencies inspection was conducted on today's date by Licensing Program Analyst (LPA) Emiko Bell in order to cite for deficiencies found during an inspection. Upon arrival, walked to the pre-school where LPA was greeted by Executive Preschool Director Christi Navarrett, to whom the reason for the inspection was announced and who then guided LPA to the playground to take census. Census: There were 2 Toddlers on the Toddler playground with one staff from rm. 4 the Monkeys room (the Toddlers room). There were 11 children on the Pre-school playground with one stafff on the Pre-school playground. Staff-child ratio was met. Both staff were cleared and associated. The Center is being cited for the following: LPA discovered that an incident had occurred in May or June 2019 when Child #1 and Child #2 were sent to the hallway bathroom at the same time and Child #1 allegedly went into the stall of Child #2 and touched him/her on their private area. Though it is unclear whether Child #1 touched Child #2 on their private area or elsewhere or whether Child #1 exposed themself to Child #2, this is an incident which should have been reported to

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019

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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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: WESTERN CHRISTIAN SCHOOLS	FACILITY NUMBER: 198004459
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/15/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/25/2019 Section Cited	1 2 3 4 5 6 7	REPORTING REQUIREMENTS Events reported shall include the following:Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. -This requirement is not met as evidenced by: the Center did not report an incident which
	8 9 10 11 12 13 14	occurred in May or June 2019 during which one child allegedly touched another child on their prirvate parts while they were both in the hallway bathroom unsupervised and unaccompanied. This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 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: Claudia Guangorena	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WESTERN CHRISTIAN SCHOOLS	FACILITY NUMBER: 198004459
	VISIT DATE: 10/15/2019

NARRATIVE

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Community Care Licensing (CCL) as "Any unusual incident or child absence that threatens the physical or emotional health or safety of any child" because it was a potential incident of child-on-child inappropriate touching. As this incident was deemed by Executive Preschool Director Navvarrette to not be reportable, the Center did not report it. As CCL found out about the incident through other means and the Center did not self-report it, the Center is being issued a citation for "Reporting Requirements."

The following is being cited in accordance to Title 22 of the California Code of Regulations. Please refer to 9099D for documentation of deficiencies.

Upon receipt, Executive Preschool Director Christi Navarrette posted the Notice of Site Visit. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100 civil penalty.

An exit interview has been conducted with, and a copy of this report has been signed by and provided to Executive Preschool Director Christi Navarrette. Appeal Rights have been provided and explained to same.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019

LIC809 (FAS) - (06/04)

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