360900582-2-10-2020-12-CC-AMAA-BLNQRG-20200210112356

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 360900582
Report Date: 02/10/2020
Date Signed: 02/10/2020 11:24:13 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	LAS FAMILIAS PRE-SCHOOL OF THE FIRST CONGREGATION		FACILITY NUMBER:	360900582
ADMINISTRATOR:	DANIELLE KENYON		FACILITY TYPE:	850
ADDRESS:	3041 SIERRA WAY		TELEPHONE:	(909) 886-4911
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92405
CAPACITY:	45	CENSUS: 9	DATE:	02/10/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:24 AM
MET WITH:	Danielle Kenyon		TIME COMPLETED:	11:35 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	Licensing Program Analyst Aaron Mabika met with Center Director, Danielle Kenyon today for the purpose of conducting an unannounced Annual/Random inspection for the 3 to 5 years old Pre-School. There are 9 children present upon arrival the Director, 1, teacher and 3 volunteer parents. Per director, the hours of operation are 09:30 AM -12:30 PM Monday -Friday. The Center LPA verified that all staff person present with current CPR and First Aid training (exp. 03/2020) Snack/lunch menus, Allergy lists were reviewed and posted. Food and snacks were reviewed for availability, quantity, proper storage, and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. Disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were inaccessible to children and stored in Maintenance locked cabinet. The sharps were observed to be on an elevated shelf. * Bathrooms (3) are toured and LPA noted all toilets (4), sinks (4) were sanitary and operational. LPA observed soap, paper towel and toilet paper and water tested at a safe temperature. the hallway was observed to a functioning water fountain, with supplies augmented by a water pitcher, disposable cups. Cubbies with children's names identified All flooring was found to be clean and safe (Director states carpets are shampooed twice a year. Teacher/child ratio observed, care and supervision were discussed, 5 children's records were reviewed, parent board observed and fire drills are current. Fire extinguisher operable with a service tag of October 17, 2019 smoke detector and CO2 detector.. Trash cans/storage containers for solid waste had tight-fitting covers that are kept on, and in good repair.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2020

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAS FAMILIAS PRE-SCHOOL OF THE FIRST CONGREGATION	FACILITY NUMBER: 360900582
	VISIT DATE: 02/10/2020

NARRATIVE

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*First Aid supplies were inventoried, a review of medication policy, including administering, labeling, and storage. *Telephone service, heating, lighting and ventilation were evaluated.
*Outdoor area and equipment was inspected for safety, cushioning material (wood chips), (Director states a load of wood chips was ordered and shipment is in transit.) good repair and age appropriateness, LPA noted shade (3 leafy trees and a tarp cover), and drinking water from a fountain that was dirty and drainage blocked. LPA observed 2 sand boxes covered with tarp to take care of the weather elements, slide sets, swing, a garden bed,, storage room for outdoor toys. There are no bodies of water on the premises.
*Isolation area is in the front office within easy access of the isolation bathroom.
ADMINISTRATION:
*Director is aware that the Department has full inspection authority as specified in Health and Safety Code 1596.852, 1596.853, and 1596.535.
*There were no excluded individuals present; staff present were fingerprint cleared and associated, LPA and Director reviewed Personnel Report (LIC 500) together during this inspection.
A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director administers medication and documents the dosage, date and time onto a log. Medication brought and taken home by the parent daily. Medication is properly labeled and stored in its original container.
*Center was found to be operating within its specified ratio and capacity.
*Sign in and Out sheets were inspected.
A sampling of children’s files was reviewed and contained emergency contact information, staff files were reviewed and contained qualifications.
LPA discussed the following:
Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed child care facility (Center or family child care home) are aware of situations that present the greatest danger to children. These situations include:
· Serious health and safety violations resulting in Type A citations;

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2020

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAS FAMILIAS PRE-SCHOOL OF THE FIRST CONGREGATION	FACILITY NUMBER: 360900582
	VISIT DATE: 02/10/2020

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· Non-compliance conferences; or
· Efforts by the Department to revoke a facility’s license. Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). Failure to meet the posting requirements shall result in an immediate civil penalty. In addition, all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report and sign the LIC 9224 acknowledging receipt. Civil Penalty assessments will be assessed if all above requirements are not adhered to.
This facility does not provide Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s personnel, and administrative records. 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 Centers and ADA, available at: http://www.ada.gov/childqanda.htm
Director is advised to visit www.shotsforschool.org for Immunization information.
Director was informed of responsibility to report suspected Child Abuse, 1-800-540-4000.
Director is advised for quarterly updates to contact the Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov. Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links. Put your email address and choose which program(s) you would like to subscribe to and click “subscribe”.
Facility was cited Type B deficiency, according to California Code of Regulations Title 22 See LIC 809D report for deficiencies. Exit interview conducted with Director, Danielle Kanyon. A copy of the Appeal Rights (LIC 9058) were given and explained. Licensee’s signature on this form acknowledges receipt of these rights. A Confidential Names list (LIC 811) was provided during this inspection. Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in visible location the authorized representatives of children.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2020

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LAS FAMILIAS PRE-SCHOOL OF THE FIRST CONGREGATION	FACILITY NUMBER: 360900582
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/10/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/10/2020 Section Cited	1 2 3 4 5 6 7	101239 Fixtures, Furniture, Equipment and Supplies Furniture and equipment shall be maintained in good condition, This requirement was not met as evidenced by;
	8 9 10 11 12 13 14	Based on observation during the tour, LPA noticed an outdoor fountain that was blocked and quite dirty. This causes a potential threat to children's health.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
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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: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2020

LIC809 (FAS) - (06/04)

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