360910037-5-5-2022-09-CC-SLOZ-CE5S8A-20220505133848

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 360910037
Report Date: 05/05/2022
Date Signed: 05/05/2022 01:38:52 PM

Document Has Been Signed on 05/05/2022 01:38 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	REDEEMER LUTHERAN PRESCHOOL		FACILITY NUMBER:	360910037
ADMINISTRATOR:	MONICA OSORIO		FACILITY TYPE:	850
ADDRESS:	920 W. 6TH STREET		TELEPHONE:	(909) 986-2615
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91762
CAPACITY:	51	CENSUS: 30	DATE:	05/05/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Director Monica Osorio		TIME COMPLETED:	01:50 PM

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 (LPA), Samuel Lopez arrived at the facility to conduct a Case Management inspection due to the request submitted for an increase in capacity. The facility is requesting to increase the capacity from 51 to 66. A Fire Clearance was granted on 3/1/2022. The days and hours of operation will be Monday through Friday; 6:45am to 6:00pm. LPA Lopez toured the facility and measured the rooms that are assigned to the Preschool (A, B, C, D, & E). Based on the measurements taken, the following was determined: Preschool Indoor Activity Areas LPA has determined that there is sufficient space to accommodate the requested capacity of 66 children. Preschool Bathroom Fixtures 5 toilets x 15 = 75 children 10 sinks x 15 = 150 children Preschool Outdoor Activity Area: LPA has determined that there is sufficient space to accommodate 91 children. Limiting factor for preschool capacity is the Fire Clearance granted. Preschool capacity is limited to 66 children. · A review of staff records on 5/5/2022 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022

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: REDEEMER LUTHERAN PRESCHOOL	FACILITY NUMBER: 360910037
	VISIT DATE: 05/05/2022

NARRATIVE

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- Director Monica Osorio was reminded that all adults 18 and over, 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 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 Director can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

- To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

- To access on-line Licensing forms & Regulations for a Child Care Center please visit: www.ccld.ca.gov.

- The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:

1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200

No deficiencies observed or cited during today's inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director Monica Osorio.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Samuel Lopez	TELEPHONE: (951) 897-2482
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2022

LIC809 (FAS) - (06/04)

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