334805816-5-3-2021-09-CC-EJOS-C2NUSK-20210503155027

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334805816
Report Date: 05/03/2021
Date Signed: 05/03/2021 03:50:49 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	LIFE CHRISTIAN ACADEMY		FACILITY NUMBER:	334805816
ADMINISTRATOR:	CANDICE LUCKETT-JACK		FACILITY TYPE:	850
ADDRESS:	3270 RUBIDOUX BLVD.		TELEPHONE:	(951) 684-3639
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92509
CAPACITY:	45	CENSUS:	DATE:	05/03/2021
TYPE OF VISIT:	Office	ANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Candice Luckett-Jack, Director Sheila Brice, Administrative Assistant		TIME COMPLETED:	12:21 PM

NARRATIVE

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Due to COVID-19, Licensing Program Analysts (LPA) Elyse Jones, Taadhimeka Haynes-Zeigler and Licensing Program Manager, Aaron Ross conducted a Tele Informal Meeting vis TEAMS Meeting with Director, Candice Luckett-Jack and Administrative Assistant Sheila Brice.

During the tele conference, the compliance history of the facility including Personal Rights, Supervision and In Service Training was discussed. Director explained that she understood the importance of ensuring the staff are following the Personal Rights and Supervision regulations. The Director also stated she meets with the staff weekly and provides ongoing training.

During the tele conference resources such as First 5 California and career videos on the Departments website were discussed.

The difference between an Informal Meeting and a Non-Compliance Meeting was explained to the Director. The Director was informed that the goal of the Informal Meeting is to assist her in remaining compliant. The Director is currently signed up to received important updates from the Department.

An exit interview was conducted with the Director. LPA provided the Director with a copy of this report. The Director agreed to acknowledge receipt of the email by replying, "I have received the LIC 809 May 3, 2021."

This report must be made available at the facility for 3 years for public review upon request.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Elyse Jones	TELEPHONE: (951) 897-2468
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021

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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