334818806-6-28-2019-09-CC-ANOE-BDKR5F-20190628124305

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334818806
Report Date: 06/28/2019
Date Signed: 06/28/2019 12:43:16 PM

COMPREHENSIVE INSPECTION

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:	RENU HOPE FOUNDATION		FACILITY NUMBER:	334818806
ADMINISTRATOR:	MARIA CAMACHO		FACILITY TYPE:	830
ADDRESS:	99085 CORVINA DRIVE		TELEPHONE:	(951) 845-3816
CITY:	NORTH SHORE	STATE: CA	ZIP CODE:	92254
CAPACITY:	23	CENSUS: 10	DATE:	06/28/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Vicky Trevino		TIME COMPLETED:	11:15 AM

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	A Random Annual inspection is being conducted as part of a compliance review. Licensing Program Analyst (LPAs) Ana Noble toured the infant center, inside and out. The following was observed: Total of 10 children present with a total of 6 Staff members. · A review of the staff records and a sampling of the children's records was conducted as part of this review. · The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days: 1. LIC 500 Personnel Report 2. LIC 610 Emergency & Disaster Plan 3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made) 4. LIC 309 Administrative Organization (only if changes have been made) 5. LIC 308 Designation of Administrative Responsibility (only if changes have been made) · The following items have been posted and are updated where necessary: - License - Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148) - Parent’s Rights Poster (PUB393) - Personal Rights (LIC613A) - Child Car Seat Law - Menu

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Ana Noble	TELEPHONE: (951) 782-3278
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RENU HOPE FOUNDATION	FACILITY NUMBER: 334818806
	VISIT DATE: 06/28/2019

NARRATIVE

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· The facility is operating within the terms of the license
· Ratios were met during this inspection
· Appropriate supervision was provided during this inspection
· Rooms are physically separated from other components
· Rooms are equipped with age appropriate furniture and equipment in good condition
· Drinking water is provided in both the indoor and outdoor activity areas
· There is sufficient napping equipment which meets licensing requirements.
· Rooms are clean and free of hazards
· There is at least one properly rated and maintained fire extinguisher, smoke detector and carbon monoxide detector
· No weapons stored at the facility
· There are no bodies of water present. All wading pools or similar product must be emptied immediately after use.
· Medications are stored where inaccessible to infants
· Medications are maintained with the child’s name and are dated and administered as specified in section 101226(e)(1-6)
· Hazards are stored where inaccessible to infants
· Toxins are locked
· While in use, infant changing tables are placed within arm’s reach of a sink
· Outdoor play area is physically separated by appropriate fencing and free of hazards
· Outdoor activity areas are supplied with age and size appropriate equipment in good condition
· There is sufficient cushioning material under high climbing equipment, swings, slides and similar equipment
· Bottles, dishes and containers of food brought by the infant’s authorized representative are labeled with the infant’s name and the current date
· Food preparation area is clean and free of vermin
· Food is stored appropriately and protected from contamination
· All storage containers for solid waste have tight-fitting covers that are kept on, and in good repair

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Ana Noble	TELEPHONE: (951) 782-3278
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RENU HOPE FOUNDATION	FACILITY NUMBER: 334818806
	VISIT DATE: 06/28/2019

NARRATIVE

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· Individual feeding plans were reviewed
· Infant needs and services plans were reviewed
· Sign in/Sign out record was reviewed and meets regulation requirements
· A Staff member is present with current Pediatric CPR/First Aid 2/25/2021
· There are staff records maintained for Licensee, administrator, and each employee
· All infant teachers have completed at least 3 postsecondary semester or equivalent quarter units in child development and 3 units related to the care of infants from an accredited or approved college
· Staff qualifications were reviewed – health screening is on file
· Children’s files were reviewed - medical assessment is on file
· A review of staff records on indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
· This facility provides Incidental Medical Services – IMS, however there are currently no children enrolled that require IMS. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) / (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.
· For more information on SIDS and Safe Sleep Environments, please visit:
California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx
AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html
AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Rick-of-SIDS-in-Early-Education-and-Child-Care
And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep

No deficiencies cited

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Ana Noble	TELEPHONE: (951) 782-3278
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: RENU HOPE FOUNDATION	FACILITY NUMBER: 334818806
	VISIT DATE: 06/28/2019

NARRATIVE

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The following was also reviewed and discussed during 5/4/18 visit and provided today:
vAB 2621 – Public Information effective January 1, 2015
vAB 2236 – Civil Penalties, effective July 1, 2015
vAB 2386 – Carbon Monoxide Detector Regulations, effective January 1, 2015
vSB 277 – Immunizations, Personal Beliefs Exemption, effective January 1, 2016
vAB290 – Child Nutrition, effective January 1, 2016
vSB792 – Immunization requirements for staff, volunteers, effective September 1, 2016 – In accordance with California Health and Safety Code Section 1596.7995(a)(1)
vAB2231 (2016) – Increased Civil Penalties, effective July 1, 2017
vNOTE: Repeat violations are defined as a violation of a previously cited statutory or regulatory Section and/or subsection within 12 months prior.
vEffective January 1, 2017 – Children under 2 years of age shall ride in a rear-facing car seat unless the child weighs 40 or more pounds OR is 40 or more inches tall. For additional information regarding car seat laws see www.chp.ca.gov
vAccess to forms & Regulations for Child Care Centers online at www.ccld.ca.gov.
vPlease subscribe at childcareadvocatesprogram@dss.ca.gov to receive Department updates. They will be sent directly to your e-mail account once you have set up an account. This website can also be accessed through www.ccld.ca.gov
vThe Duty Officer is available to answer questions Monday – Friday at 1-844-LET-US-NO (1-844-538-8766).

An exit interview was conducted and during the interview, the Lead Teacher Vicky Trevino Director confirmed there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

A NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED IN A PROMINENT LOCATION AT THE FACILITY FOR THE NEXT 30 DAYS. This report must be available for review, upon request, for the next 3 years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Ana Noble	TELEPHONE: (951) 782-3278
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2019

LIC809 (FAS) - (06/04)

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