198016641-12-9-2021-33-CC-BBEL-C9JRZR-20211209122818

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016641
Report Date: 12/09/2021
Date Signed: 12/09/2021 12:28:27 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:	FIRST CHRISTIAN CHURCH CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	198016641
ADMINISTRATOR:	GALLEANO, VIRGINIA		FACILITY TYPE:	840
ADDRESS:	1751 NORTH PARK AVENUE		TELEPHONE:	(909) 629-3636
CITY:	POMONA	STATE: CA	ZIP CODE:	91768
CAPACITY:	15	CENSUS: 0	DATE:	12/09/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Director Lilliana Vasquez		TIME 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	An unannounced, in-person Annual/Required-3 year inspection was conducted on this date by Licensing Program Analysts (LPAs) Emiko Bell and Judy Mora. Upon arrival, LPAs were greeted by Director Liliana Vasquez in the Director's office. The purpose of the inspection was announced to Director Vasquez. Director Vasquez explained that there are currently no school-age children in care; the last day there was a child in attendance was August 2021. At 09:20, Director Vasquez then guided LPAs on a tour of the kitchen, the school-age classroom, the school-age bathroom, and the school-age playground. All areas identified on the Facility Sketch were inspected, including the food preparation area, storage and refrigeration; the rest rooms, equipment, outside play area and overall conditions of facility. There are no pools or similar bodies of water on the premises. There are no firearms or other weapons on the premises. There were no accessible poisons. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. An isolation area with a sink and toilet was inspected. Age-appropriate sinks and toilets were inspected for availability, good repair, water temperatures, toilet paper, paper towels, area safety and sanitation. First Aid supplies were inventoried; there is a First Aid Kit kept on the sink in the classroom and one in the office. Per Director, there are no medications kept on premises. The food preparation area (kitchen) was toured for safety, cleanliness and proper equipment. All refrigerators had thermometers and all were measured at below 45 degrees

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

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: FIRST CHRISTIAN CHURCH CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198016641
	VISIT DATE: 12/09/2021

NARRATIVE

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Fahrenheit. A review of cleaning and food supply storage areas was made. The playground was inspected for safety and cushioning material. Play area was inspected for hazards and inaccessibility to bodies of water. The staff file of the Director was reviewed for completeness including Director qualifications and verification of CPR/First Aid and health preventive practices documentation. Inspection of required postings was made. There is a combination smoke/carbon monoxide detector located on the ceiling of the cafeteria; it was tested and is operable.

There were no deficiencies cited during today's inspection.

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/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the facility, 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 licensed Family Child Care Home. 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.

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

Exit interview conducted and report was reviewed with Director Liliana Vasquez.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

LIC809 (FAS) - (06/04)

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