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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815015
Report Date: 03/26/2024
Date Signed: 03/26/2024 01:03:01 PM


Document Has Been Signed on 03/26/2024 01:03 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:ARCHIBALD RANCH CHRISTIAN PRESCHOOLFACILITY NUMBER:
364815015
ADMINISTRATOR:LAURA O'BRIENFACILITY TYPE:
850
ADDRESS:13344 S. ARCHIBALD AVENUETELEPHONE:
(909) 947-2722
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY:111CENSUS: 46DATE:
03/26/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Director Laura O'BrienTIME COMPLETED:
01:10 PM
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On 03/26/2024 at 11:10 a.m. Licensing Program Analyst (LPA) Blanca Ruiz arrived at the facility to conduct a case management inspection to reassign classroom 5 as a Toddler classroom and to verify substantial compliance with Title 22 regulations. LPA was greeted by facility administrator Agatha Kolenda, and director, Laura O’Brien. LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following:
Normal days and hours of operation are Monday- Friday, 6:30 a.m. to 6:00 p.m. for Preschool classrooms: Rooms 1-4, and 6-8 and Toddler Classroom, Room 5 from 7:00 a.m. to 5:00 p.m.

During inspection the following documents were requested to complete by licensee:

1. Please updated Lic 200A -Correction needed.
2. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule for Toddler Option Component
3. Facility Sketch Update- Playground area ( include Toddler Option Component)
4. Napping waiver -Activity area
5. Proof of purchase and/ or pictures of required classroom equipment obtained-Potty Chair(s). Obtained during inspection.
6. LIC 500 Personnel Report- Staff/ Toddler Option Component-Academic requirements.
7. Fire Department follow up due to changes in the playground exit(s)/ due to capacity rearranges.

Once all corrections have been verified, the request will be submitted for approval. A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Exit interview conducted and report was reviewed with facility, Director Laura O'Brien.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-SilvaTELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:
DATE: 03/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/26/2024
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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