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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364810707
Report Date: 05/20/2019
Date Signed: 05/20/2019 11:29:10 AM

COMPREHENSIVE INSPECTION
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:MOUNT ZION CHRISTIAN SCHOOLFACILITY NUMBER:
364810707
ADMINISTRATOR:BARABARA YOUNGFACILITY TYPE:
850
ADDRESS:224 A W. CALIFORNIA STREETTELEPHONE:
(909) 988-2280
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:49CENSUS: 8DATE:
05/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Barbara YoungTIME COMPLETED:
11:45 AM
NARRATIVE
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Licensing Program Analyst Nelson Zuniga arrived at the facility to conduct an inspection. During the inspection, census was taken, facility was toured and observed the children engaging in age appropriate indoor and outdoors activities.
I met with Director, Barbara Young and teacher Rita Ford on my arrival.
The following was observed:
· A review of staff records and a review of a sampling of children's records was conducted as part of this evaluation.
· The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days:
1. LIC 500 Personnel Report 2. LIC 610 Emergency & Disaster Plan
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization (only if changes have been made)
5. LIC 308 Designation of Administrative Responsibility (only if changes have been made)
· 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 during this visit
· Classrooms are clean and free of hazards · All floors observed to be clean and safe
· No weapons stored at the facility · Appropriate supervision was provided during the visit
· Classrooms are equipped with age appropriate furniture and equipment in good condition (Cont' on LIC809C)
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019
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 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MOUNT ZION CHRISTIAN SCHOOL
FACILITY NUMBER: 364810707
VISIT DATE: 05/20/2019
NARRATIVE
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 All wading pools or similar product must be emptied immediately after use and stored in an upright position when not in use.
· Medications are stored and inaccessible to children
· Hazards are stored and inaccessible to children which includes: disinfectants, cleaning solutions and other items that are dangerous to children
· Poisons and toxins are locked · Bathrooms were observed to be safe, sanitary and in operating condition · Playgrounds are enclosed by appropriate fences.
· Outdoor activity areas 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
· Food is stored appropriately and protected from contamination
· All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall · Menus are to be posted at least one week in advance and kept on file for 30 days.
· There is a properly rated Fire extinguisher, smoke detector in good working order and carbon monoxide alarm · Sign in/Sign out record was reviewed and meets regulation requirements
· A Staff member is present with current Pediatric CPR/First Aid which expires on 7/2018
· Opening and closing staff member’s CPR/First Aid expires on 7/2018, staff are registered to attend training on June 2, 2019 · Director Health and Safety Training on file · Children’s records contained a signed copy of the admission agreement · Staff files contain documentation of the appropriate educational credits · A review of staff records on 5/20/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. · Facility is providing IMS This facility provides 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. (Cont' on LIC809C)
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019
LIC809 (FAS) - (06/04)
Page: 2 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MOUNT ZION CHRISTIAN SCHOOL
FACILITY NUMBER: 364810707
VISIT DATE: 05/20/2019
NARRATIVE
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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 more information on SIDS and Safe Sleep Environments, please visit:
California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx
AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html
AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Rick-of-SIDS-in-Early-Education-and-Child-Care
And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep
The following was also reviewed and discussed:
v AB 2084 - Nutritious Beverages in Child Care Facilities effective January 1, 2012 -
v SB 277 – Immunization, Personal Beliefs Exemption, effective January 1, 2016 -
v AB290 – Child Nutrition, effective January 1, 2016 -
v SB792 – Immunization requirements for staff, volunteers, effective Sept. 1, 2016 –
v AB 2386 – Carbon Monoxide Detector Regulations, effective January 1, 2015 –
v AB 2621 – Public Information effective January 1, 2015 –
v AB 2236 – Civil Penalties, effective July 1, 2015 –
An exit interview was conducted and during the interview, the licensee, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. Notice of site visit issued and shall be posted for 30 days. Appeal rights were provided and discussed.
v Visit our website for Departments quarterly updates and access to forms & Regulations for child care centers at www.ccld.ca.gov.
v The Duty Officer is available to answer questions Monday – Friday at 1-844-LET-US-NO (1-844-538-8766). See LIC 809D for deficiency cited.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MOUNT ZION CHRISTIAN SCHOOL
FACILITY NUMBER: 364810707
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/03/2019
Section Cited
CCR
1012176
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Personnel Requirements: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 care center or offsite for center activities. This requirement was not met as evidence by:
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Licensee stated that all staff are scheduled to attend renewal training on June 2, 2019. Licensee will provide LPA copies of new cards by no later than June 3, 2019.
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Center staff CPR/FIRST AID Cards expired on 7/2018. This could potentially pose a heath and safety risk to the children in care.
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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: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019
LIC809 (FAS) - (06/04)
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