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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815015
Report Date: 08/26/2024
Date Signed: 08/26/2024 01:52:05 PM


Document Has Been Signed on 08/26/2024 01:52 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:ARCHIBALD RANCH CHRISTIAN PRESCHOOLFACILITY NUMBER:
364815015
ADMINISTRATOR:LAURA O'BRIENFACILITY TYPE:
850
ADDRESS:13344 SOUTH ARCHIBALD AVENUETELEPHONE:
(909) 947-2722
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:111CENSUS: 29DATE:
08/26/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Agatha KolendaTIME COMPLETED:
02:00 PM
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On 08/26/2024 at 9:00 AM, Licensing Program Analyst (LPA) Tiffanie Diep arrived at the facility to conduct an annual inspection. LPA toured the facility inside and out, records were reviewed, and the following was observed and/or discussed:
  • This is not a combination center.
  • Normal days and hours of operation are Monday through Friday from 6:30 AM to 6:00 PM for preschool classrooms (Rooms 1 through 4 and 6 through 8) and from 7:00 AM to 5:00 PM for toddler classroom (Room 5).
  • A review of staff and children's records was conducted as part of this evaluation.
  • The facility was operating with the limits as stated on the license.
  • Ratios were being met during the inspection.
  • Classrooms were adequately equipped with age and size-appropriate furniture and equipment and free of hazards.
  • There are no weapons present at the facility per Facility Representative Agatha Kolenda.
  • Facility Representative confirmed there are no accessible bodies of water present at this time. All wading pools or similar products must be emptied immediately after use.
  • Children bring their own water bottles to the facility. Drinking water is also provided to children by filtered water in water jugs.
  • Water testing for lead contamination was completed on 06/28/2022.
  • Medications were stored where inaccessible to children.
  • All hazardous items, such as disinfectants, cleaning solutions, and other items that could pose a danger were stored inaccessible to children.
  • All floors were observed to be clean and safe.
  • Restrooms were observed to be safe, sanitary, and in operating condition.

Continues on LIC 809-C
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie DiepTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:
DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/26/2024
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: ARCHIBALD RANCH CHRISTIAN PRESCHOOL
FACILITY NUMBER: 364815015
VISIT DATE: 08/26/2024
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Continued from LIC 809 (Page 2)
  • Outdoor activity areas were supplied with age and size-appropriate equipment in good condition. The outdoor play areas for the preschoolers and toddlers were physically separated.
  • Playgrounds were enclosed by appropriate fences and were free of hazards.
  • Food preparation area was clean, free of litter, rubbish, and free of rodents and other vermin.
  • Food was stored appropriately and protected from contamination.
  • All storage containers for solid waste, including moveable bins, had tight-fitting covers that were kept on and in good repair.
  • Menus were posted at least one week in advance in a place visible by the child’s authorized representative, dated, kept on file for 30 days, and made available upon request.
  • The areas around or under high climbing equipment, swings, slides, and similar equipment were cushioned with material that absorbs a fall, which was woodchips.
  • Sign-in/out records were reviewed and met regulation requirements.
  • Children’s records were not complete. LPA did not observe 15-minute sleeping logs for one out of one toddler under 24 months. LPA discussed the requirement to check and log infant sleeping every 15 minutes for infants under 24 months. Infants are children under the age of two.
  • Staff records reviewed during today’s inspection indicate that all facility staff or other individuals who require caregiver background checks have received all required clearances or exemptions and meet minimum qualifications for the position for which they were hired.
  • A staff member was present with current pediatric CPR and first aid certification which expires on 09/26/2024.
  • Documentation of fire and disaster drills was on file; last drill was conducted on 08/21/2024.
  • Facility Representative was informed of their reporting requirements and was provided with the Regional Office’s Unusual Incident Reporting e-mail at UnusualIncidentReportsDO09@dss.ca.gov.
  • Facility Representative can submit transfer forms to associate new individuals or to disassociate someone from the facility via e-mail to Associations_Disassociations862@dss.ca.gov.
  • The Duty Officer is available to answer questions Monday through Friday from 8:00 AM to 5:00 PM at (951) 782-4200.
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie DiepTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2024
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: ARCHIBALD RANCH CHRISTIAN PRESCHOOL
FACILITY NUMBER: 364815015
VISIT DATE: 08/26/2024
NARRATIVE
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Continued from LIC 809-C (Page 3)

The following items were posted and updated where necessary:
  • License
  • Emergency Disaster Plan (LIC 610) and Earthquake Preparedness Checklist (LIC 9148)
  • Notification of Parents' Rights poster (PUB 393)
  • Personal Rights (LIC 613A)
  • California Child Passenger Safety Law (PUB 269)
  • Menu

The facility representative is asked to update the following documents, if applicable, and submit to Licensing within 30 days:
  1. Designation of Facility Responsibility (LIC 308) (only if changes have been made)
  2. Administrative Organization (LIC 309) (only if changes have been made)
  3. Personnel Report (LIC 500)
  4. Emergency Disaster Plan (LIC 610)
  5. Parent Handbook/Program Curriculum/Admission policies and procedures/Fee schedule (only if changes have been made)

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of five days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every five years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie DiepTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: ARCHIBALD RANCH CHRISTIAN PRESCHOOL
FACILITY NUMBER: 364815015
VISIT DATE: 08/26/2024
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Continued from LIC 809-C (Page 4)

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey may be sent to the e-mail address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE Tool, please send e-mail inquiries 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/inspection-process. Facility Representative was informed of the MyChildCarePlan.org website, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

There were no deficiencies cited at this time. See attached LIC 9102 for advisory note. An exit interview was conducted and report was reviewed with the facility representative, Agatha Kolenda. A notice of site visit was given to Facility Representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISOR'S NAME: Ana NobleTELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Tiffanie DiepTELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2024
LIC809 (FAS) - (06/04)
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