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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503810136
Report Date: 02/22/2022
Date Signed: 02/22/2022 05:30:48 PM


Document Has Been Signed on 02/22/2022 05:30 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, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:CORNERSTONE CHRISTIAN PRESCHOOL MONTEVISTA CAMPUSFACILITY NUMBER:
503810136
ADMINISTRATOR:MARROQUIN, STEPHANIEFACILITY TYPE:
850
ADDRESS:700 E MONTE VISTA AVETELEPHONE:
(209) 535-0136
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:24CENSUS: 17DATE:
02/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Amanda GonzalezTIME COMPLETED:
10:45 AM
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On 02/22/2022, Licensing Program Analyst (LPA) Juvenal Moctezuma & Licensing Program Manager, Michael Duarte conducted an unannounced case management inspection and met with Administrator Amanda Gonzales. The purpose of todays inspection was to look at the children's bathroom that is being used by children through an approved waiver and to make sure that the public does not have access to the church while day-care is in operation. Amanda stated that she met with the church whom agreed that the church office and area will be closed during day-care hours with no public access and stated that staff will observe children at all times when taking them to the bathroom. All church staff have been fingerprint cleared and Amanda stated that they wont have access to the preschool licensed bathroom. Amanda is pending an approved fire clearance from the Turlock Fire Department & an updated LIC 610 before the increase of capacity can be approved.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies were observed today. Exit interview conducted and report was reviewed with the facility representative Amanda Gonzales.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2022
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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