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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004459
Report Date: 11/03/2023
Date Signed: 11/03/2023 04:24:34 PM


Document Has Been Signed on 11/03/2023 04:24 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:WESTERN CHRISTIAN SCHOOLSFACILITY NUMBER:
198004459
ADMINISTRATOR:CHRISTI NAVARRETTEFACILITY TYPE:
850
ADDRESS:3105 PADUA AVE.TELEPHONE:
(909) 626-1377
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:83CENSUS: 27DATE:
11/03/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:12 PM
MET WITH:Olivia CastilloTIME COMPLETED:
03:45 PM
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On 11/3/2023, Licensing Program Analysts (LPAs), Carolyn Tuba and Staicy Perry conducted an unannounced POC (plan of correction) inspection to ensure the 2 Type B deficiencies cited on 10/26/2023 for an annual visit been corrected. A COVID risk assessment was conducted. LPAs met with Assistant Director, Olivia Castillo. Assistant Director guided LPA, Perry who observed 29 children and 5 staff present at the facility during this inspection.

During the visit Asssiatnt Director guided LPA, Perry who observed that there were 3 covers made of tarp material were available to cover the 3 sand boxes located in each play yard (LPA, Perry took photos). LPAs observed that the Mandated Reporting Training Certificates were completed and expire on 10/2025.

LPAs cleared the deficiency on this date and provided a copy of the Licensing Report to Assistant Director. LPAs also issued POC clearance letter during the visit.

At this time, the facility is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

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



Exit interview conducted and report was reviewed with the Assistant Director, Olivia Castillo.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 11/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/03/2023
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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