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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343615836
Report Date: 02/07/2020
Date Signed: 02/07/2020 12:05:29 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME:WILTON CHRISTIAN PRE-SCHOOLFACILITY NUMBER:
343615836
ADMINISTRATOR:GONZALES, KERRIFACILITY TYPE:
850
ADDRESS:9697 DILLARD ROADTELEPHONE:
(916) 687-7693
CITY:WILTONSTATE: CAZIP CODE:
95693
CAPACITY:14CENSUS: 10DATE:
02/07/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Kerri GonzalesTIME COMPLETED:
12:15 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Mai Lor and Christopher Bello met with Director Kerri Gonzales for the purpose of an unannounced annual random inspection. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. LPAs observed ten preschool children and director acting as a teacher. Facility hours of operation are Monday through Friday from 8:00 AM to 3:30 PM.

LPAs toured all activity and classroom spaces, restrooms, and an outdoor play area. LPAs observed the following documents posted: license, emergency disaster plan, and car safety law. LPAs observed a first aid kit. Cleaning disinfectants, hazardous items, and medications are appropriately stored and inaccessible to children. Licensee stated there are no poisons on the premises. Furniture and equipment are in good condition, and toileting facilities are in safe, sanitary and operating condition. The floors appeared clean throughout the facility. Storage containers with solid waste have tight-fitting covers. Parents provide snacks and lunches. The facility does not provide snacks or meals. A current emergency disaster drill is being maintained.



Drinking water was readily available to children both indoors and outdoors. LPAs observed full legal signatures while reviewing the sign in and sign out sheet. LPAs observed 10 napping cots and observed that they are stored in the classroom. LPAs observed a sufficient amount of cubbies and chairs. Playground equipment and surfaces are free of loose or sharp parts. There is no climbing structure in the outdoor play area. There are sufficient equipment and toys.

(Report continues on subsequent page)
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
FACILITY NAME: WILTON CHRISTIAN PRE-SCHOOL
FACILITY NUMBER: 343615836
VISIT DATE: 02/07/2020
NARRATIVE
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Staff and children's records were reviewed. Each child's file contained an emergency card and a medical assessment. LPA did not observed a valid pediatric CPR/first aid certificate.. All staff currently employed with the facility have a criminal record clearance, health screening report, mandated reporter training certificates, and documentation of the educational background, training, and/or experience. LPAs reminded Director that 100% supervision is required at all times, including in the bathroom. There are no firearms or bodies of water on the premises. LPAs observed a functional carbon monoxide detector. LPAs reviewed the Department's inspection authority and discussed with designee any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within ten working days.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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.

LPAs verified the annual fees are current. LPAs reviewed the following: 100% supervision is required at all times, including in the bathroom; personal rights; reporting requirements; staff to children ratios, conditions of the license, staff qualifications, and maintaining buildings and grounds.

This facility evaluation report was reviewed and discussed with Director. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. Director was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.



Deficiencies are cited on the subsequent page of this report under the California Code of Regulations, Title 22. Licensee was provided a copy of the Appeal Rights (LIC9058) and Licensee's signature on this form acknowledges receipt of these rights.
SUPERVISOR'S NAME: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020
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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: WILTON CHRISTIAN PRE-SCHOOL
FACILITY NUMBER: 343615836
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2020
Section Cited

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At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child
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care center or offsite for center activities. This requirement was not met as evidenced by: Based on record review, LPAs did not observe a valid CPR/first aid certificate.
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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: Roxana SaraviaTELEPHONE: (916) 263-5715
LICENSING EVALUATOR NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3