<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808779
Report Date: 10/08/2021
Date Signed: 10/08/2021 12:07:23 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:STONE RIDGE CHRISTIAN PRESCHOOLFACILITY NUMBER:
243808779
ADMINISTRATOR:TOLBERT, KIMFACILITY TYPE:
850
ADDRESS:2142 E. YOSEMITE AVENUETELEPHONE:
(209) 383-4727
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY:45CENSUS: 28DATE:
10/08/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Kim Tolbert - DirectorTIME COMPLETED:
12:15 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
On 10/8/21 Licensing Program Analyst (LPA), Joseph Pacheco arrived at the facility to conduct an unannounced Case Management - Plan of Correction (POC) Inspection. LPA met with Director, Kim Tolbert to review the POCs associated to deficiencies cited on 8/26/21: Today, LPA verified the following:

· Children’s files observed now contain a completed, LIC 995, LIC 627 and a Medical Assessment showing that children have had a physical exam as required.

LPAs cleared deficiency on this date and provided licensee with a "Letter of Deficiency Citations Cleared." This letter must be filed in the facility for three years and upon request made accessible to the public for review.

During today’s inspection, LPA observed that staff were wearing face coverings during indoor activities but staff were not teaching and reminding children to wear face coverings per current California Department of Public Health (CDPH) guidelines for Child Care facilities. Director provided LPA with a statement that says they have posted a sign on their doors to encourage parents to follow the recommendations set forth by CDPH guidelines and to put a face covering on their child before entering the classrooms. POC does not address how staff are going to teach and remind children to wear face coverings during indoor activities as previously stated by Director. LPA and Director discussed the POC and Director stated that they have brought this to the attention of the children’s authorized representatives and that the authorized representatives do not want their children wearing face coverings while in care. Director stated they’re going to honor the authorized representative’s wishes as it relates to CDPH guidelines regarding children wearing face coverings while in care. LPA reminded Director of the current CDPH guidelines for Child Care facilities. The Director was advised that by not encouraging children to continually wear their masks throughout the day, despite the direction of the children’s representatives, this may lead to possible future administrative action.
CONTINUED ON 809-C
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: STONE RIDGE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 243808779
VISIT DATE: 10/08/2021
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
26
27
28
29
30
31
32
The Director was reminded that their license is in place to protect children from all possible harm while in care. If this conduct continues further actions may be taken.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D). Director was provided a copy of their appeal rights.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of LIC 9224 was given to licensee.

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: STONE RIDGE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 243808779
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/11/2021
Section Cited

1
2
3
4
5
6
7
Personal Rights. (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations...to meet his/her needs. This requirement was not met, as evidenced by LPA observation that children were not wearing face coverings
8
9
10
11
12
13
14
during inside activities per CDPH and OSHA guidelines for COVID-19 in Childcare facilities. Director stated they will continue to leave it up to children’s authorized representative’s to decide whether or not their child should wear a face covering while in care. This poses an immediate risk to the Health, Safety, and Personal Rights of children in care. It should be noted that Staff were wearing face coverings.
8
9
10
11
12
13
14
representative and kept in the child’s file. A copy of the letter will be provided to Community Care Licensing by 10/18/21.

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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3