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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360905326
Report Date: 06/24/2021
Date Signed: 06/24/2021 09:55:45 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:CHRIST LUTHERAN PRESCHOOL AND KINDERGARTENFACILITY NUMBER:
360905326
ADMINISTRATOR:STACEY STRASSERFACILITY TYPE:
850
ADDRESS:5500 FRANCIS AVENUETELEPHONE:
(909) 627-1433
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY:90CENSUS: 14DATE:
06/24/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Stacey Strasser - Director - TIME COMPLETED:
10:00 AM
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Licensing Program Analyst (LPA) Rachel Zeron conducted an unannounced case management inspection to follow-up on an Unusual Incident Report (UIR) received on 06/17/2021.. During this inspection, LPA Zeron toured the facility inside and outside, took census of day-care children present on this date, verified facility associations, and discussed the following with Director, Stacey Strasser.

On 04/11/2021, the center had a fire break out in the yellow room and the blue room, after the electricity had gone out and came back on. It appears that the wiring from the fire alarms caught fire. Fire Department was in the proximity and was able to quickly respond. There were no children in care at the time.
The Director Stacey toured the facility with LPA Zeron, LPA inspected the areas where the fire had occurred and observed where the repairs were completed. LPA observed all areas to be in good repair. The facility has since added cameras for extra security.

Based on the reported information, as well as an inspection of the areas where the fire had damaged and repairs were made, there appears to be no violations of Title 22 Regulations pertaining to the reported incident.

An exit interview was conducted, and a Notice of Site Visit was provided and must be posted for 30 days. The signature below acknowledges these documents were received on 06/24/2021 by Director, Stacey Strasser. No deficiencies were cited.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Rachel ZeronTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2021
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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