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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004459
Report Date: 01/07/2020
Date Signed: 01/07/2020 05:15:15 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 SCHOOLSFACILITY NUMBER:
198004459
ADMINISTRATOR:CHRISTI NAVARRETTEFACILITY TYPE:
850
ADDRESS:3105 PADUA AVE.TELEPHONE:
(909) 626-1377
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:83CENSUS: 59DATE:
01/07/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Christi Navarrette TIME COMPLETED:
05:20 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Judy Mora and Emiko Bell conducted an unannounced Case Management-Deficiencies inspection on this day. Licensing staff met with Christi Navarrette, Director, who guided analysts on a tour of the facility. Superintendent John Atwood was also present.

The purpose of this visit was to ensure that the Licensee is in compliance with Title 22 regulations.

Children's records were reviewed to ensure that the LIC 9224 Acknowledgement of Receipt of Licensing Report for reports dated 10/15/19 and 12/16/19 are on file. Required forms were observed.

At the time of arrival, Licensing staff observed an unattended individual by the name of Dionne Keeler present at the front desk. Licensing staff observed that Ms. Keeler does not have a current criminal record clearance on file. Licensing staff was provided a copy of the LIC 9163, Request for Live Scan Service, however, the form was dated 01/06/2020, indicating that Ms. Keeler began to work in the facility prior to having a Criminal Record Clearance. This is an immediate risk to the health and safety of children in care. Civil penalties are being assessed.

Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care and any newly enrolled children for up to one year.A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Director Christi Navarrette. Appeal rights explained & provided.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020
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: 01/07/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
01/08/2020
Section Cited

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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:
Obtain a California clearance or a criminal record exemption as required by the Department or
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This requirement was not met as evidenced by Licensing staff observing an unattended individual by the name of Dionne Keeler present at the front desk. Licensing staff observed that Ms. Keeler does not have a current criminal record clearance on file. This is an immeidate risk to the health and safety of children in care. A civil penalty in the amount of $200 is being assessed.
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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 GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy MoraTELEPHONE: (323) 981-3371
LICENSING EVALUATOR SIGNATURE:
DATE: 01/07/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2020
LIC809 (FAS) - (06/04)
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