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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810217
Report Date: 05/20/2022
Date Signed: 05/20/2022 11:02:06 AM

Document Has Been Signed on 05/20/2022 11:02 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LIFEHOUSE CHRISTIAN PRESCHOOLFACILITY NUMBER:
153810217
ADMINISTRATOR:CLEMENT, CINDYFACILITY TYPE:
850
ADDRESS:3311 MANOR STTELEPHONE:
(661) 588-1212
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 41DATE:
05/20/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Cindy Clement, DirectorTIME COMPLETED:
11:00 AM
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On 05/20/2022, Licensing Program Analyst (LPA) Pete Espinoza conducted an announced prelicensing inspection. LPA met with Cindy Clement, Director. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The center is located at the Lighthouse Christian Church located, 3311 Manor St. in Bakersfield 93308. This is a Change of Ownership from previous Facility -153808755. Applicant is requesting a capacity of 45 preschool children ages 2-6. This program will operate year-round Monday – Friday 7:00 AM – 6:00 PM.
Room measurements were taken and reviewed with Director. The total inside preschool area measured is approximately 2,805 square feet and three (3) toilets and six (6) hand washing sinks which will accommodate the requested capacity of 45 preschool children. There is adequate storage space available for children's belongings in the classroom. Toys and equipment appear to be age appropriate. Uncontaminated drinking water is available both indoors and outdoors.
Outdoor measurements were not taken on this date, as the outdoor activity space is adequate enough to accommodate the requested capacity. LPA observed adequate shade, age appropriate toys, a bike path and small structure with slide. Applicant is using sand to cushion fall zones.
Director stated that the center will provide a morning snack, & afternoon snack only. Lunch will be provided by the parents and Director stated that the center has a plan in place in case a parent forgets to bring their child lunch. Ill children will be isolated in the Director’s office and utilize the staff bathroom. The classroom was observed to be clean and free of toxins. LPA observed that the furniture and equipment appeared to be safe and in good condition. There are enough tables, chairs, cots, and plenty of toys for children to play. There is a working carbon monoxide detector inside the kitchen.
This facility does not plan to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2022
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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: LIFEHOUSE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 153810217
VISIT DATE: 05/20/2022
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A fire clearance was granted for 45 preschool children Kern County Fire Department on 05/16/2022.
Director will send to Fresno Regional Office the following by 06/10/2022:
* Certificate of Completion for Health and Safety Training – Cindy Clement
* Health Screen (LIC 503) – Lisa Kane
* Immunizations (MMR) – Lisa Kane
* Statement of Acknowledging Requirement to Report Suspected Child Abuse (LIC 9108) – Lisa Kane
* Updated Personnel Report (LIC 500)
* Updated Personnel Policies
* In-Service Training Plan
* Updated Admission Agreement
LPA reviewed with Director the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
The following documents should be posted at the facility:
* PUB 269- Child passenger restraint systems poster 101225(f) Transportation
* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)
* Activity Schedule
* Lead Poisoning brochure
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.
Exit interview conducted and report was reviewed with Cindy Clement, Director.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for the requested capacity of 45 preschool children.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2022
LIC809 (FAS) - (06/04)
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