370805563-12-7-2022-20-CC-RGOU-CLVQBJ-20221207110136

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 370805563
Report Date: 12/07/2022
Date Signed: 12/07/2022 11:01:47 AM

Document Has Been Signed on 12/07/2022 11:01 AM - 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	ST. JOHN OF THE CROSS PRESCHOOL		FACILITY NUMBER:	370805563
ADMINISTRATOR:	IDANIA WALTERS		FACILITY TYPE:	850
ADDRESS:	8175 LEMON GROVE WAY		TELEPHONE:	(619) 466-8624
CITY:	LEMON GROVE	STATE: CA	ZIP CODE:	91945
CAPACITY: 50	TOTAL ENROLLED CHILDREN: 19	CENSUS: 16	DATE:	12/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Idania Walters		TIME COMPLETED:	11:10 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	On 12/07/22, at 8:00 a.m., Licensing Program Analyst (LPA), Rajani Goudreau conducted an unannounced Annual Inspection and met with Director, Idania Walters. LPA disclosed the purpose of the inspection and toured the facility indoors and outdoors. Facility operates in the following classrooms: #14, #15, #16, #17. During today’s inspection facility was operating in classroom #16 due to low number of children present. This is a full day program that operates following the yearly schedule of St. John of the Cross Catholic school. Facility operates Monday through Friday from 7:00 a.m. to 4:00 p.m. There were 16 children present with two staff. There is no swimming pool or other bodies of water on the premises, per observation. In addition, director confirmed there is no bodies of water on the premises of the church. There are no firearms or ammunition on the premises, per director. Disinfectants, cleaning solutions, and other hazardous items were made inaccessible to the children in care, per observation. No poisons were observed during the inspection. LPA informed the director poisons shall be kept in a locked storage area. Furniture and equipment in the classrooms were observed to be in good condition, free of sharp, loose or pointed parts. The playground equipment and play materials were observed to be in safe condition, free of sharp, loose or pointed parts. Based on observation the play structure is suitable for ages 2 through 5 years old. There is sufficient cushioning materiel under the play structure by the use of wood chips. In addition, there was adequate shade in the outdoor area by the use of a large secure canopy. The surface of the outdoor activity space was observed to be maintained in a safe condition and is free of hazards. All toilets and hand washing facilities were observed to be in safe and sanitary operating condition. The floors in the facility were observed to clean and safe. Solid waste storage containers were observed to have tight-fitting covers and in good repair. Drinking water is available both indoors and outdoors by the use of refillable water containers and reusable cups provided. Based on observation, the facility has one functioning carbon monoxide detector that meet statutory requirements, per observation.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

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: ST. JOHN OF THE CROSS PRESCHOOL	FACILITY NUMBER: 370805563
	VISIT DATE: 12/07/2022

NARRATIVE

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A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained, per observation. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off site activities, based on the director’s statement and file review. The name of the childcare center director or fully qualified teacher(s) designated to act in the director’s absence has been reported to the Department, per file review. Sign in/out sheets reviewed and observed to have the parent’s/authorized representative’s full legal signatures and record the time of day. Children were observed to be under supervision, including visual supervision. Based on observation, the facility maintains a ratio of one teacher supervising no more than 12 children in care. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. During staff file review, mandated reporter training certificates for the director and staff member present expired in 09/2022. LPA informed the director the training can be completed online at the following website: mandatedreporterca.com. In addition, staff member was missing the measles vaccination. LPA informed the director of the requirements for the mandated reporter training and required the immunization's for staff. Director acknowledged understanding of the requirements. Required postings were observed to be posted.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email 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.

Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

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: ST. JOHN OF THE CROSS PRESCHOOL	FACILITY NUMBER: 370805563
	VISIT DATE: 12/07/2022

NARRATIVE

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This facility does not provide Incidental Medical Services (IMS). Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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. Services are in place.

LPA informed director of the water lead testing results shall be completed by January 01, 2023. LPA provided and discussed the following with the the director: PIN’s 21-04-CCP and 21-21-CCP.

No deficiencies issued during today's inspection. Two technical advisory notes issued. Exit interview conducted with the Director, Idania Walters. LIC9213 – Notice of Site Visit was discussed and provided to the director. LPA observed the LIC9213 posted in the lobby prior to exiting the facility.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Rajani Goudreau
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022

LIC809 (FAS) - (06/04)

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