376701490-5-24-2021-20-CC-MMAE-C3BT4R-20210524142422

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701490
Report Date: 05/24/2021
Date Signed: 05/24/2021 02:24:26 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:	FAITH CHAPEL LEARNING ACADEMY		FACILITY NUMBER:	376701490
ADMINISTRATOR:	STEPHANIE SMITH		FACILITY TYPE:	830
ADDRESS:	9400 CAMPO ROAD		TELEPHONE:	(619) 567-7557
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	26	CENSUS: 0	DATE:	05/24/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Stephanie Smith		TIME COMPLETED:	02:30 PM

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 5/24/2021 at 8:30am, Licensing Program Analyst (LPA), Martha Malane arrived at the facility to conduct a pre-licensing inspection. LPA met with Director, Stephanie Smith and was led on a tour of the facility. This Infant program operates in Room 103 and the Sleeping Room. Applicant requested a capacity of 15 infant children (age 0-24 months). Planned hours of operation are Monday - Friday from 7:00am – 6:00pm. A fire clearance for 26 infants was granted 4/26/21. Room 103 was inspected and measured a total of 979 square feet which is sufficient to accommodate 27 infants, however applicant is only requesting a capacity of 15 infant children. Room 103 is equipped with cubbies, toys, age appropriate equipment, furniture, supplies, materials a refrigerator and a microwave oven. In the diapering area, there is one (1) changing table within arm’s reach of a sink which will only be used for hand washing after diaper changing. Director understands the sink used to sanitize hands after diaper changing cannot be used for food preparation. There is a separate room for napping, The Sleeping Room, which is equipped with cribs and cots for infants. The Sleeping Room is not included in the indoor square footage calculation. An isolation area for ill children is located the office. The restroom for ill children is located across the hall from the Sleeping Room and has one (1) toilet and one (1) =sink. There is a first aid kit with required supplies. Medications are stored in the office. Required documents are posted in the entrance of the facility. Snack, breakfast and lunch will be brought from home. Drinking water is readily available inside the classrooms via moveable water jugs and sippy cups. The outdoor activity space measured a total of 638.65 square feet which is sufficient to accommodate 8 infant children. Applicant is requesting a waiver for 15 infant children to share the outdoor activity space on a scheduled basis. The outdoor area is enclosed by a fence. However, at this time, there is not a barrier between the infant and preschool activity areas. At this time, no shade is provided. The director stated a moveable shade canopy will be provided. LPA observed age-appropriate play equipment and toys. Drinking water is available via moveable water jugs and sippy cups. Proper supervision and placement of staff in the outdoor activity space was advised to ensure the safety of children at all times. Director was advised to ensure supervision and safety of children.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: FAITH CHAPEL LEARNING ACADEMY	FACILITY NUMBER: 376701490
	VISIT DATE: 05/24/2021

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
26
27
28
29
30
31
32

Incidental Medical Services (IMS) was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 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. LPA and Director discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

Director is advised to regularly visit the Community Care Licensing WEB SITE: http://www.ccld.ca.gov/ for quarterly updates and updated regulation information. Duty Line was provided: (619) 767-2248.

Southern California Child Care Advocate information was provided and Director was encouraged to subscribe through the CCLD website in order to be placed on an email list for updated regulation information. Advocate information was provided: (714) 703-2800 or childcareadvocatesprogram@dss.ca.gov. Additional Resources provided including discussion regarding Safe Sleep and provided PIN 20-24CCP, Shaken Baby Syndrome, Lead Poisoning flyer and PIN 21-02-CCLD regarding Guardian.

Prior to licensure the following is needed:
1) Outdoor activity area waiver
2) Outdoor activity area shade canopy
3) Outdoor activity area barricade between infant and preschool areas
4) Carbon Monoxide Detector

An exit interview was conducted with the director and LPA provided: LIC809, LIC809C and LIC9102-AN. Once the listed requirements have been met and proof submitted to CCL, a license for 15 infant children may be granted after a final file review.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2