364840169-9-3-2019-09-CC-NZUA-BFNSDX-20190903134752

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364840169
Report Date: 09/03/2019
Date Signed: 09/03/2019 01:48:04 PM

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:	EASTER SEALS CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	364840169
ADMINISTRATOR:	REGINA HERBERTSON		FACILITY TYPE:	850
ADDRESS:	9950 MONTE VISTA		TELEPHONE:	(909) 626-1700
CITY:	MONTCLAIR	STATE: CA	ZIP CODE:	91763
CAPACITY:	105	CENSUS: 65	DATE:	09/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Regina Herbertson		TIME COMPLETED:	11:01 AM

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	(3) A random annual inspection is being conducted as part of a compliance review. Licensing Program Analyst (LPA), Nelson Zuniga, toured the center, inside and out. The following was observed: · A review of staff records (those present during this inspection) and a review of a sampling of children's records was conducted as part of this evaluation. See Confidential Names List (LIC811) · 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 · Appropriate supervision was provided during the visit · No weapons stored at the facility · Classrooms are equipped with age appropriate furniture and equipment in good condition · Classrooms are clean and free of hazards · All floors shall be kept clean and safe · There are no accessible bodies of water present. All wading pools or similar product must be emptied immediately after use and stored in an upright position when not in use. (Cont' on LIC809C)

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson Zuniga	TELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019

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: EASTER SEALS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 364840169
	VISIT DATE: 09/03/2019

NARRATIVE

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· 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 AB 2386 – Carbon Monoxide Detector Regulations, effective January 1, 2015
v - SB 277 – Immunizations, 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 1207 – Mandated Child Abuse Reporting: Child Day Care Personnel Training, beginning January 1, 2018 – All staff have completed the training.
v AB 2621 – Public Information effective January 1, 2015
v AB 2236 – Civil Penalties, effective July 1, 2015
v Access to forms & Regulations for Family Child Care Homes online at www.ccld.ca.gov.
Please subscribe at www.childcareadvocatesprogram@dss.ca.gov to receive Department updates. They will be sent directly to your e-mail account once you have set up an account. - The Duty Officer is available to answer questions Monday – Friday at 1-844-LET-US-NO (1-844-538-8766). An exit interview was conducted, No deficiencies cited. The facility appears to be in substantial compliance with Title 22 Regulations at time of inspection. The LICENSEE, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. A notice of site visit issued.
Appeal rights were provided and discussed. This report must be available for review, upon request, for the next 3 years.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson Zuniga	TELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019

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: EASTER SEALS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 364840169
	VISIT DATE: 09/03/2019

NARRATIVE

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· Medications are stored where inaccessible to children
· Hazards are stored where 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 and free of hazards
· 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. · Uncontaminated drinking water shall be readily available both indoors and out · The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall · Menus are posted at least one week in advance and kept on file for 30 days · There is a properly rated Fire extinguisher, smoke detector and carbon monoxide detector in good working order · 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 01/31/20 · Opening and closing staff member’s CPR/First Aid expires on 01/31/20 · 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 09/03/2019 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 9Procedures for Child Care Centers Sections 101173 and 101226. 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.
(Continue on LIC809C)

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson Zuniga	TELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2019

LIC809 (FAS) - (06/04)

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