334819356-9-15-2020-09-CC-GCAO-BTGPVZ-20200915113957

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334819356
Report Date: 09/15/2020
Date Signed: 09/15/2020 11:41:06 AM

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:	CROSSROADS CHRISTIAN PRESCHOOL		FACILITY NUMBER:	334819356
ADMINISTRATOR:	MORRISON, PENNY		FACILITY TYPE:	850
ADDRESS:	2380 FULLERTON AVENUE		TELEPHONE:	(951) 278-3196
CITY:	CORONA	STATE: CA	ZIP CODE:	92881
CAPACITY:	252	CENSUS: 0	DATE:	09/15/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Penny Morrison, Preschool Director		TIME COMPLETED:	11:10 AM

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On 09/15/2020 at 10 a.m. Licensing Program Analyst (LPA), Giselle Carbullido conducted a case management tele-inspection per Licensee request with Preschool Director, Penny Morrison to inspect two additional rooms (#9, #10) requested for the Pre- School Program. Per Ms. Morrison rooms 9 and 10 will be used to accommodate Pre- School children in smaller groups without a change in capacity. Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19 pandemic, this investigation was conducted via Tele-inspection via Facetime. LPA discussed purpose of tele visit, took census and requested/obtained records electronically. A tour of the classrooms was conducted with Ms. Morrison.

During the visit LPA inspected rooms #9 and #10 observed the following:

- A new fire clearance was granted for the preschool program now including rooms 9 and 10 on September 8, 2020 with no change in capacity. Fire clearance notes: Preschool program may only use rooms 1-16. Program Capacity remains at: 252 - The rooms are equipped with age appropriate furniture and the equipment is in good condition - The floors appear to be clean and safe - The room appears to be clean and free of hazards - Hazards are stored where inaccessible to children which which includes: disinfectants, cleaning solutions and other items that are dangerous to children.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2020

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

FACILITY NAME: CROSSROADS CHRISTIAN PRESCHOOL	FACILITY NUMBER: 334819356
	VISIT DATE: 09/15/2020

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- Storage areas for poisons and toxins are locked - No medications are stored, they will be stored in the school office - The facility has a functioning Carbon monoxide detector and appropriate size fire extinguisher in each classroom - Each room has one sink with attached water fountain and one toilet.

Indoor Measurements: The indoor activity space for classrooms #9 and #10 were measured during this tele-inspection via Facetime by the Director with LPA’s guidance. With today’s measurements the space will accommodate using the classrooms for 10 children as requested with each room capacity determined at 15 children.

Outdoor activity area measurements: The outdoor play area was not measured during this visit as there is no change in capacity and the area is large enough to accommodate the requested capacity.

Preschool rooms 9 and 10 are in substantial compliance. CHILDREN SERVED: 252 AMBULATORY PRESCHOOL CHILDREN, AGES 2 - 6 YEARS. DAYS AND HOURS OF OPERATION: MONDAY - FRIDAY, 6:00 AM - 6:00 PM

An exit interview was conducted, and LPA Carbullido provided Ms. Morrison, Director with a copy of this report via email with an electronic “read receipt” request. The electronic read receipt of the emailed report acknowledges receipt of this report. A copy of this report was emailed to Licensee for this Tele-inspection on September 15, 2020.

This report must be made available to the public upon request for three years.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2020

LIC809 (FAS) - (06/04)

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