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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370800213
Report Date: 06/08/2021
Date Signed: 06/08/2021 05:13:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:FOOTHILLS FAITH ACADEMYFACILITY NUMBER:
370800213
ADMINISTRATOR:JO CANTWELLFACILITY TYPE:
850
ADDRESS:4031 AVOCADO BOULEVARDTELEPHONE:
(619) 670-4024
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY:95CENSUS: 73DATE:
06/08/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Jo Cantwell, Facility DirectorTIME COMPLETED:
05:00 PM
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On June 8, 2021 at 2:30 PM, due to the COVID-19 State of Emergency, Licensing Program Analyst (LPA), Marie Hernandez conducted an unannounced in person inspection of the facility. LPA met with the Facility Director, Jo Cantwell. The Director accompanied LPA during the inspection of the facility including the play yard. Present during the inspection were seventy three children with fourteen staff.

There was a least one qualified lead teacher in each classroom. The appropriate ratios and capacity were observed. The furniture and equipment are in good condition; free of sharp, loose, or pointed parts. The drinking water is readily accessible to children during the inspection. The disinfectants, cleaning solutions, and other hazardous items are inaccessible to children via latches, locks and/or placed up on high surfaces. No bodies of water was observed during the inspection. The Director states there are no firearms or weapons present at this facility. All toilets and hand washing facilities are in good repair and sanitary. Snacks and lunches are provided by the children's parent/guardian. However, the facility has an emergency supply of water and snacks available for the children. All storage containers for solid waste have tight-fitting covers that are kept on, and in good repair. Outdoor play area is fully fenced and contains sufficient amount of cushioning with rubber to absorb a fall. The sign in/sign out sheets are well maintained. All required documents are posted. Children’s files were reviewed for medical assessment. Present staff (during inspection) criminal record clearances, records were reviewed and contained documentation of educational background, training, and/or experience. All present staff members on site had current CPR/First Aid certification. Immunization records per SB792 was reviewed and in compliance. Mandated reporter certificates per AB1207 was reviewed and in compliance. Last fire drill was conducted and documented on 03/09/2021 . 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. 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.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2021
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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: FOOTHILLS FAITH ACADEMY
FACILITY NUMBER: 370800213
VISIT DATE: 06/08/2021
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The Covid-19 documents were posted and the staff were wearing their facial coverings and social distancing during the inspection. The carbon monoxide detector was tested and in good working order. The restrooms were clean and in good working order during the inspection.

No deficiencies observed in the areas inspected during today's visit. The NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed Director post notice of site visit.

To access our Regulation and Forms please use our WEBSITE: www.cdss.ca.gov
Community Care Licensing Duty Line: (619) 767-2248, Monday through Friday, from 8:00 AM to 5:00 PM.

An exit interview was conducted and a copy of the report was discussed and provided to the Facility Director.
SUPERVISOR'S NAME: Cynthia GrayTELEPHONE: (619) 767-2258
LICENSING EVALUATOR NAME: Marie HernandezTELEPHONE: (619) 767-2244
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2021
LIC809 (FAS) - (06/04)
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