376700037-11-22-2019-20-CC-YBAZ-BJ73YE-20191122173950

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700037
Report Date: 11/22/2019
Date Signed: 11/22/2019 05:39:56 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:	CALVARY CHRISTIAN ACADEMY		FACILITY NUMBER:	376700037
ADMINISTRATOR:	JENNIFER GREENAWALD		FACILITY TYPE:	850
ADDRESS:	1771 E. PALOMAR STREET		TELEPHONE:	(619) 591-2260
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	120	CENSUS: 36	DATE:	11/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Jennifer Greenawald		TIME COMPLETED:	05:45 PM

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Licensing Program Analyst (LPA) Yolanda Baez arrived at the facility to conduct an annual random inspection. Upon arrival LPA met with Assistant Director, Malia Kent. Director, Jennifer Greenawald arrived within 20 minutes. The following ratios were observed:

Room 1 (AKA Room 110, Serves Kindergarten age children):

There were 15 children present with 2 staff members

Room 2 (AKA Room 114, Serves ages 2 to Kindergarten):

There were 6 children present with 1 staff member during nap time

Room 3 (AKA Room 113, Serves ages 2 to Kindergarten):

There were 5 children present with 2 staff members & a therapist was present

Room 4 (AKA Room 112, Serves 2 to Kindergarten age children):

There were 10 children present with 2 staff members

Room 5 (AKA Room 111, Serves ages 2 to Kindergarten):

There were not any children or staff members present

Appropriate ratios and capacity were observed.

Furniture and age appropriate equipment is in good condition indoors and outdoors. Children's toilets and hand washing facilities are sanitary. All classrooms are safe and clean. The center serves snacks and a snack menu is posted. Children's parents are responsible for providing lunches. Drinking water is readily accessible inside of the classroom via water pitchers and disposable cups and children's water bottles. Drinking water is readily available outdoors via water fountains. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair. Outdoor play area is fenced with sufficient material for cushioning. The play area has canopies used for shade, age appropriate play equipment, two play structures, a sand box, and a turf grass area.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CALVARY CHRISTIAN ACADEMY	FACILITY NUMBER: 376700037
	VISIT DATE: 11/22/2019

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There are no bodies of water or weapons at this facility. Emergency drills are being conducted every month, the last emergency drill was conducted on 11/13/2019. There is an operational carbon monoxide detector at the facility. First Aid/CPR was reviewed and is in compliance. Staff records of education, training, and/or experience were reviewed and are in compliance.

Immunization law (SB792) was discussed with Director and she understands that anyone who provides care and supervision to the children must have immunization records maintained at the facility and available for review for: pertussis, measles, and influenza. Facility is compliant with SB792. LPA Baez discussed the Mandated Reporter training, AB1207. LPA Baez reminded Director that all staff members are to take the training and have the printed certificates present at the facility and available for review. Facility is compliant with AB1207.

LPA reviewed the following with Director: IMS, SIDS, Car seat Law, Shaken Baby Syndrome, the updated CDPH 286 form for "Pre-Kindergarten and School Immunization Record" and Director stated that she understands. This facility does provide Incidental Medical Services- IMS and already has a written IMS plan of operation on file. 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 http://www.ada.gov/childqanda.htm. LPA and Licensee discussed California Megan’s Law and LPA provided: www.meganslaw.ca.gov.

No deficiencies were issued throughout this inspection. NOTICE OF SITE VISIT IS TO BE POSTED FOR 30 DAYS. LPA observed the posting the Notice of Site Visit.

Duty Line: (619) 767-2248, Monday through Friday from 8am to 5pm. To access our Regulation and Forms please use our WEBSITE: http://ccld.ca.gov

Director requested to remove Room 1 (AKA 115) from the license and will submit an updated LIC200A (to be signed by corporation's authorized representative) with an updated facility sketch. LPA requested an updated LIC 309 and LIC 308. Director understands that an updated STD850 for a decrease of capacity is to be completed and the LIC200A must be sent with a $25 money order or check payable to DSS Cashier in order to process the decrease of capacity.

SUPERVISOR'S NAME: Joe Carrasco	TELEPHONE: (619) 767-2243
LICENSING EVALUATOR NAME: Yolanda Baez	TELEPHONE: (619) 767-2201
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

LIC809 (FAS) - (06/04)

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