440701509-4-13-2023-07-CC-CNEN-CQUR5F-20230413124303

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 440701509
Report Date: 04/13/2023
Date Signed: 04/13/2023 12:43:15 PM

Document Has Been Signed on 04/13/2023 12:43 PM - 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	GREEN VALLEY CHRISTIAN SCHOOL		FACILITY NUMBER:	440701509
ADMINISTRATOR:	VIVIANA,SEDANO		FACILITY TYPE:	850
ADDRESS:	376 SOUTH GREEN VALLEY ROAD		TELEPHONE:	(831) 724-6505
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	78	CENSUS: 0	DATE:	04/13/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:32 AM
MET WITH:	Viviana Sedano		TIME COMPLETED:	12:55 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	Licensing Program Analysts (LPAs), Cortney Nelson and Ashley Lopez, met with Site Director, Viviana Sedano, for temporary relocation of preschool program located at the facility. Due to road collapse behind Green Valley Christian School, the building has been red tagged and the preschool is relocating to Green Valley Christian Center, a church located on the property. The church will be closed to public use during the hours the school is in operation. Building Inspector, Jose Perez, from City of Watsonville conducted inspection and confirmed that the church main building is approved for full use as the sewer line has been temporarily repaired. Viviana states that they are planning to resume use of the school this upcoming fall (August 2023) and will use the church for temporary use until then. LPAs toured inside and outside during todays inspection. The preschool will be relocated to the nursery room (#301) and toddler room (#302). LPAs observed sufficient toys and materials for the children that are age-appropriate and in good condition. Viviana states that the rooms will be shared with the church on Sundays, however will be exclusively used by the preschoolers Monday-Friday. Children in grades K-8th are also utilizing the church and will be sharing the restrooms. LPAs advised Viviana to submit a waiver request for shared use of the bathrooms during the school day. There is a restroom located in room #301 that could be used to isolate a child if necessary. Viviana states that the facility only provides snack and will use the Ministry Room to store and prepare them. In room #302 there are three (3) tables, eighteen (18) chairs, two (2) high chairs, and one (1) sink. In room #301 there are four (4) chairs, one (1) table, one (1) sink, and one (1) toilet. There are sixteen (16) nap mats available for the children and Viviana states at most 14 children are anticipated to nap each day. LPAs observed a first-aid kit and properly stored EpiPen for child in care. The required postings are near the front entrance to room #302. LPAs advised that cubbies/hooks/bins are needed for storing children's personal belongings/nap materials. Viviana states that she will plan to store the children's nap materials in the nook area near the door in room #301. There is a built in fire detector for the building and fire clearance was completed on 3/30/2023. There are two (2) 2A10BC fire extinguishers located in the church lobby. LPAs advised a carbon monoxide detector is needed.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: GREEN VALLEY CHRISTIAN SCHOOL	FACILITY NUMBER: 440701509
	VISIT DATE: 04/13/2023

NARRATIVE

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Indoor Measurements:
Toddler Room (#302)
18.167 x 27.500 = 499.5925
encumbered space:
2.167 x 9.333 = 20.224611 (sink/counter)
8.167 x 5.583 = 45.596361 (check-in/drop off area)
= 65.820972

499.5925 - 65.820972 (encumbered space) = 433.771528

Nursery Room (#301)
6.333 x 25.750 = 163.07475
36.167 x 26.083 / 2 = 471.67193
encumbered space:
2.167 x 4.667 = 10.113389 (sink/counter)
2.167 x 12.167 = 26.365889 (counter)
2.250 x 5.500 = 12.375 (counter)

634.74668 - 48.854278 (encumbered space) = 585.892402

Total: 433.771528 + 585.892402 = 1019.66393 / 35 SQ feet = 29 children

The facility plans to utilize both rooms for the preschoolers and will leave the door in between the rooms open during the time children are in care. While the school is in session, children in grades K, 1st, 2nd, 3rd, & 5th will be on campus Monday & Wednesday. Children in grades 4th, 6th, 7th, & 8th will be on campus Tuesday & Thursday. On Friday, school-age children will be on campus for a half day and alternate attendance between both groups. Viviana states that the school year will end on 6/2/2023 and during the school year children are dismissed from school around 2:30PM.

The outside space was observed to be fenced in and comprised of a large blacktop area and grass area. There are 10 picnic tables located outside that Viviana states will be used for the children when they eat snack. There are two drinking fountains located outside and shade is provided by large trees. The outside space will be shared with school-age children during the morning (10:30AM-11:45AM), however will remain physically separated from the preschoolers. LPAs advised a waiver request must be submitted for shared use of the outside space and clearly indicate how preschool-age children will remain separated and not commingle with school-age children.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: GREEN VALLEY CHRISTIAN SCHOOL	FACILITY NUMBER: 440701509
	VISIT DATE: 04/13/2023

NARRATIVE

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Outdoor Measurements:
Blacktop:
171.083 x 235.083 = 40218.7049
encumbered space:
19.10 x 7.11 = 140.477 (storage container)

40218.7049 - 140.477 (encumbered space) = 40078.2279

Grass Area:
129.083 x 280.083 = 36153.9539
68.083 x 151.083 / 2 = 5143.09194

Total: 40078.2279 + 36153.9539 + 5143.09194 = 81375.2737 / 75 SQ feet= 1085 children

The facility measures for a capacity of 29 children, Viviana states that the most preschoolers they anticipate attending daily is 24 children.

During today's inspection, LPAs received updated personnel roster (LIC500) and daily schedule for preschoolers.

Exit interview conducted and report was reviewed with Site Director, Viviana Sedano.

As a result of today’s inspection, no deficiencies were cited.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

LPAs advised temporary relocation site will be approved pending manager review and completion of the following corrections:
-Submit two (2) waiver requests- shared playground and bathroom use, clearly demonstrating how children will not commingle with school-age children.
-Installation of properly functioning carbon monoxide detector
-Add Cubby/bin space for preschoolers personal belongings

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2023

LIC809 (FAS) - (06/04)

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