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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360900983
Report Date: 03/08/2023
Date Signed: 03/08/2023 04:54:53 PM


Document Has Been Signed on 03/08/2023 04:54 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:TRINITY EPISCOPAL PRESCHOOLFACILITY NUMBER:
360900983
ADMINISTRATOR:TRINA HOHENSHELTFACILITY TYPE:
850
ADDRESS:419 S. 4TH STREETTELEPHONE:
(909) 748-5041
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:44CENSUS: 14DATE:
03/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Monica Jimenez, DirectorTIME COMPLETED:
05:15 PM
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On 03/08/2023 at 9:55 AM Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct a 1 year required annual inspection. LPA was granted entry by Director Monica Jimenez. LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following: Monica Jimenez, is a new Director was hired on 02/13/2023. The facility notified the department on 02/21/2023 of the change in administrative status and is in the process of submitting a completed director's packet. Normal days and hours of operation are: Monday- Friday, 7:00 AM – 5:00 PM

The inspection consisted of reviews of the following domains: Food Service; Reporting Requirements


Physical Plant; Care and Supervision; Children Records; Staff Records; Staffing Ratio and Capacity and
Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D. The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days on or before 04/08/2023. LPA provided a copy of the LIC281a(1) Application Booklet for Child Care Centers, via e-mail for guidance and reference.
1. New Director’s Packet and proof of participation in Center Orientation Record Keeping
2. LIC 500 Personnel Report
3. LIC 610 Emergency & Disaster Plan
4. LIC999 Indoors and Outdoors to include Entire Physical Plant, 2nd Level Floor Plans (with room measurements) and Facility Plant Overview with Parking Lots.
5. Parent Handbook/Employee Handbook; Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
6. LIC 309 Administrative Organization (New Board Members), By Laws and Minutes
7. LIC 308 Designation of Administrative Responsibility
8. Incidental Medical Plan
9. CPR/1ST Aid for opening staff.
10. Proof of Scheduled Lead Testing on or before 04/07/2023.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2023
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 9


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: TRINITY EPISCOPAL PRESCHOOL
FACILITY NUMBER: 360900983
VISIT DATE: 03/08/2023
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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
· The facility is operating within the terms of the license.
· Ratios were met and appropriate supervision was provided during this inspection 03/089/2023.
· Classrooms are clean, free of hazards and equipped with age appropriate furniture and equipment in good condition on 03/08/2023.
· No weapons stored at the facility on 03/08/2023
· There are no accessible bodies of water present on 03/08/2023. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· No Medications are stored for children at this time, no children receiving IMS services on 03/08/2023. The IMS plan is outdated and will be reviewed for revisions and updates.
· Hazards are stored where inaccessible to children which include: Disinfectants, cleaners and other items that are dangerous. Poisons and toxins are locked 03/08/2023
· All floors are clean and safe.
· Bathrooms were observed to be safe, sanitary and in operating condition.
· Outdoor activity areas/playgrounds are enclosed by appropriate fences, free of hazards and are supplied with age and size appropriate equipment in good condition.
· Food preparation area is clean, free of litter, rubbish and free of rodents and other vermin.
· Measures are taken to keep the facility free of flies, other insects and rodents.
· Food is stored appropriately and protected from contamination. No food stored at the facility.
· Storage containers for solid waste, including moveable bins-have tight-fitting covers in good repair
· No Menus are posted on 03/08/2023,
· Uncontaminated drinking water shall be readily available both indoors and out and provided by filtered water bottles to fill igloos and dixie cups.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall. Facility has sand and wood chips to cushion a fall and shade structures.
· Sign in/Sign out record was reviewed and meets regulation requirements on 03/08/2023.
· A Staff member is present with current Pediatric CPR/First Aid which expires on 06/29/2024.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC809 (FAS) - (06/04)
Page: 2 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: TRINITY EPISCOPAL PRESCHOOL
FACILITY NUMBER: 360900983
VISIT DATE: 03/08/2023
NARRATIVE
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· Opening staff CPR/First Aid expired 06/2022; Closing staff member’s CPR/First Aid expired 06/29/2024.
· Director Monica Jimenez, has NOT completed Health and Safety Training to date and was recently hired in Feb 2023.
· Staff qualifications and files were reviewed and are NOT complete staff identified on confidential names list:
-Staff 2 (S2) Asst. Teacher's permit exp. 04/11/2022, CPR/1st Aid Exp. 06/2022, Missing: MMR, Tdap, Influenza or Letter to decline, Mandated Reporter Part 1 & 2;
-Staff 3 (S3) CPR/1st Aid exp. 01/04/2023, Missing: Mandated Reporter Training Part 1 & Part 2 exp. 01/17/2018.
· Staff have received on the job training for housekeeping, sanitation and universal health precautions
Licensee was informed the Department has inspection authority per Health and Safety Codes.
Licensee provided the Unusual Incident Reporting email: UnusualIncidentReportsDO09@dss.ca.gov
· Children files were reviewed and are complete on 03/08/2023.
· Last fire drill conducted on 10/20/2022.
· Appropriate fire extinguisher (2A:10BC), smoke detector are present and tested on 02/08/2023 and a carbon monoxide detector is NOT present.
· Documentation of Lead Testing is on file: NOT ON FILE. The Administrative secretary on site, confirmed that the facility was unaware of the regulation to have water tested for lead. Director Monica Jimenez, stated that the facility does not use their kitchen or drinking fountains for consumption or food for the daycare facility at this time. All water is store bought and brought into the facility for igloos and water pitchers.
· A review of staff records on 02/15/2023 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
· AB2370 – Lead Exposure, day care facilities, effective January 1, 2019 –
The bill requires that all Child Care Centers, operating in a building constructed before January 1, 2010, shall have their drinking water tested for excessive lead levels, on or after January 1, 2020, but no later than January 1, 2023. Child Care Centers must thereafter test their drinking water every five years after the date of the initial test.
· AB605 – Child \day care facilities, birth to school-age license; Effective January 1, 2021
· AB2960 – Child care and development services, online portal – Effective June 20, 2022 - This bill requires the State Superintendent of Public Instruction (SSPI), within the California Department of Education (CDE), to develop and post on CDE's website a comprehensive child care and development services online portal for families and providers by June 30, 2022.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC809 (FAS) - (06/04)
Page: 3 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: TRINITY EPISCOPAL PRESCHOOL
FACILITY NUMBER: 360900983
VISIT DATE: 03/08/2023
NARRATIVE
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies. No children enrolled with IMS needs to review children’s, personnel, and administrative records on 03/08/2023. 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 CCCs: Incidental Medical Services (IMS) policy was discussed.

Director Monica Jimenez, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov for Riverside Regional Office.

LPA Susan Brewer, discussed the safe sleep regulations with Director Monica Jimenez, and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. No infants are enrolled at this time. PA also informed Monica Jimenez, of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Deficiencies were Type B cited for this visit. No Civil Penalties were issued this visit


A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Director Monica Jimenez.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC809 (FAS) - (06/04)
Page: 4 of 9
Document Has Been Signed on 03/08/2023 04:54 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: TRINITY EPISCOPAL PRESCHOOL
FACILITY NUMBER: 360900983

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Susan Brewer's record review, the licensee did not comply with the section cited above, by admission the licensee Director Monica Jimenez and administrative staff stated that the facility has not completed lead testing for the facility which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/07/2023
Plan of Correction
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Per Director Monica Jimenez, the licensee agrees to submit proof of appointment to conduct lead testing at the facility by an approved vendor. Proof of appointment can be submitted by mail, fax or e-mail to the department.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Susan Brewer's review of staff records, the licensee did not comply with the section cited above, Director was missing Proof of MMR, TB screening and Influenza vaccination or letter to decline, Staff 2 was missing immunization Records for all required vaccinations, Staff 3 was missing Influenza vaccination or letter to decline; which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/07/2023
Plan of Correction
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Per director Monica Jimenez, the licensee agrees to submit proof of immunizations on or before 04/07/2023, by fax, mail or e-mail.
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: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2023
LIC809 (FAS) - (06/04)
Page: 5 of 9


Document Has Been Signed on 03/08/2023 04:54 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: TRINITY EPISCOPAL PRESCHOOL
FACILITY NUMBER: 360900983

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Susan Brewer's record review, the licensee Monica Jimenez, did not comply with the section cited above in facility Staff did not complete the California Child Abuse Mandated Reporter Part 1 or Part 2 Training, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/07/2023
Plan of Correction
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Per Director Monica Jimenez, the licensee will ensure that all staff present and caring for children will complete the required California Child Abuse Mandated Reporter Part 1 or Part 2 Training, and renew Part 2 training every 2 years, prior to expiration date. The licensee agrees to submit proof of training for employees on or before 04/07/2023, by fax, mail or e-mail.
Type B
Section Cited
CCR
101215.1(m)
Child Care Center Director Qualifications and Duties
(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Susan Brewer's record review, the licensee Director Monica Jimenez, did not comply with the section cited above in the director failed to complete the requried Health and Safety trainiing and did not ensure that designated opening staff present to supervise in the absence of a director, did not complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/07/2023
Plan of Correction
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Per director Monica Jimenez, the director and any designated staff to supervise at the facility in the absence of the director will complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866. The licensee agrees to submit proof of registration for training on or before 04/07/2023.
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: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2023
LIC809 (FAS) - (06/04)
Page: 6 of 9