198004459-11-5-2019-33-CC-BBEL-BHN3YS-20191105174026

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198004459
Report Date: 11/05/2019
Date Signed: 11/05/2019 05:40:31 PM

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: 40	DATE:	11/05/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	04:40 PM
MET WITH:	Executive Preschool Director Christi Navarrette		TIME COMPLETED:	05:40 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-Other (POC over 10 days) inspection was conducted on this date by Licensing Program Analyst (LPA) Emiko Bell. The purpose of the inspection was to clear the deficiency which was cited on 10/15/19. Upon arrival, LPA was greeted by Executive Preschool Director Christi Navarrett, to whom the reason for the inspection was announced and who then guided LPA on a tour of the pre-school classrooms to take census. Census: There were three toddlers with two staff in rm. 4 the Monkeys room (the Toddlers room). There were seven children with one staff in rm. 7 the Ladybugs; there were six children with one staff in rm. 3 the Cats; there were 10 children with one staff in rm. 5 the Frogs and on the playground, there were seven children with one staff from the Butterflies; five children with one staff from the Geckos and two children with one staff from the Rhinos. Staff-child ratio was met. . During today's inspection, the citation which was issued on 10/15/19 was verified to have been cleared: Executive Preschool Director Navarrette has agreed to complete an Unusual Incident Report and send it to CCL via fax or US Mail by 10/25/19. In addition, EPD Navarrette agreed to report all further incidents to CCL if there is a question as to whether it should be reported or not. EPD Navarette submitted the Unusual Incident/Injury Report via US Mail; it was received by CCL on 10/23/19. One Letter of Deficiencies Cleared has been issued and given to EPD Navarrette.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019

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
	VISIT DATE: 11/05/2019

NARRATIVE

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In addition, after Executive Preschool Director Navarrette informed LPA Bell that there was a leak on the playground, LPA Bell took an Unusual Incident/Injury Report in person since the leak had been observed by staff on 11/04/19 and confirmed on 11/05/19. A written report will be provided to CCL by Tuesday, 11/12/19 so that Executive Preschool Director Navarrette can document any further developments which may occur between now and the 12th.

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.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019

LIC809 (FAS) - (06/04)

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