191501775-6-6-2025-33-CC-CTUA-DHDUSS-20250606155048

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191501775
Report Date: 06/06/2025
Date Signed: 06/06/2025 03:51:07 PM

Document Has Been Signed on 06/06/2025 03:51 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	CLAREMONT UNITED CHURCH OF CHRIST ECC		FACILITY NUMBER:	191501775
ADMINISTRATOR/ DIRECTOR:	KNIGHT, KRISTY		FACILITY TYPE:	850
ADDRESS:	233 W HARRISON AVE		TELEPHONE:	(909) 624-2916
CITY:	CLAREMONT	STATE: CA	ZIP CODE:	91711
CAPACITY: 64	TOTAL ENROLLED CHILDREN: 64	CENSUS: 52	DATE:	06/06/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:45 AM
MET WITH:	Kristy Knight		TIME VISIT/ INSPECTION COMPLETED:	01:00 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 6/6/2025 Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced required annual inspection. LPA enter through the main double doors of the facility that is part of a church. LPA met with Director, Kristy Knight who guided LPA on a tour of the facility indoors and outdoors. This is a preschool program licensed for 64 children and also operates an infant program from 7:00 AM to 6:00 PM Monday - Friday. Per the Director, there are 59 children currently enrolled. LPA observed a total census of 52 children with 10 staff. The following classrooms were inspected: Rainbow Room (3 years old) had 13 children in care with 3 staff, Teddy Bear Room (4 years old) had 18 children in care with 3 staff, and Grandma’s House (2 years old) had 21 children in care with 4 staff. LPA checked all staff and found they were fingerprint cleared. Rainbow and Teddy Bear classrooms are located near the infant playground. Grandma’s House is located near the preschool playground. Each classroom has their own telephone line to communicate to the office. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. All children were observed to be under supervision, including visual supervision. Licensed facility is within the conditions, limitations, and capacity specified on the license. The classroom furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. Indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. Telephone service, heating, lighting, and ventilation were evaluated. LPA observed plenty of toys and materials for the children to use. Storage for children’s belongings and napping equipment was inspected and meet all regulatory requirements. Availability of drinking water was reviewed and per Director the facility provides water page 1 of 4

NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Carolyn Tuba
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CLAREMONT UNITED CHURCH OF CHRIST ECC	FACILITY NUMBER: 191501775
	VISIT DATE: 06/06/2025

NARRATIVE

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with a filtered jug and water is obtained by a water station inside of the facility. (LPA took photo) The facility had the lead testing completed recently(March 2025) and tested all water outlets where staff obtains water for the children. The lead results have been posted for parents to view there were no lead exceedances found. The children’s water bottles are labeled with each child’s name.

The Rainbow room has 2 child size sinks and 2 child-size toilets including a changing table. The Teddy Bear room has 2 child size sinks and 2 child-size toilets including a changing table. Grandma’s House has 1 child size sink and 2 child-size toilets including a changing table. During the visit LPA advised the Director that while total ratio of children versus having enough sinks and toilets meets the requirements, however since Grandma’s House it located away from the other restrooms and only has 1 sink for the children to use and the ratio of children are more then the 15 an additional sink would be needed. The LPA consulted with the Director that a change would be required and that either the ratio of children would need to be reduced and be no more than 15 in Grandma’s room or a sink would need to be added. LPA observed that there is currently an additional sink and toilet that staff were using near the children’s restroom, however Director stated that the staff can use the restrooms located in the main lobby of the facility and that it can be converted into a children’s restroom. Director will notify the LPA of the change which will require a visit to be conducted on a future date.

During the visit LPA observed that in the Rainbow room and the Teddy bear room have lofts (LPA took photos) and Director disclosed that those will be removed by this summer due to safety reason and she would like to see the classrooms be more open.

Combo carbon monoxide and smoke detectors were present in the facility. Fire extinguishers are serviced annually and was last serviced December 13, 2024. Storage cabinet in classrooms were locked and hazardous items including cleaning compounds were stored inaccessible to children. Emergency disaster drill was last conducted in May 2025. There is a First Aid kit available inside the classrooms.

Children bring their own bedding, which are sent home at the end of each week to be laundered. Food preparation area which is a full kitchen located near the front office was inspected and toured for safety, cleanliness, and proper equipment. Each classroom also stores snack food items. The facility is currently not part of a food program and lunch is provided by parents. LPA observed that children’s lunch boxes were
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Carolyn Tuba
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2025

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CLAREMONT UNITED CHURCH OF CHRIST ECC	FACILITY NUMBER: 191501775
	VISIT DATE: 06/06/2025

NARRATIVE

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labeled with children’s names and are stored appropriately in the refrigerator. The facility does provide morning and afternoon snacks. LPA observed that there is a fridge, food supplies and microwave available for heat ups in each classroom and full kitchen is only used for food prep. Snack menu is posted in each classroom on the fridge for parents to view.

LPA observed that certain documents for the parent board was available in all classrooms however some were kept in areas that were not of public viewing and Director will ensure that parent boards will be updated with all required Department forms and will be available in each classroom for easy viewing for parent/guardians.

Outdoor playground equipment is in safe condition, free of sharp, loose, or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under climbing equipment, slides, and similar equipment are cushioned with sand. There is adequate shade in the play yard with lots of trees. There is enough equipment for the children to use in the play yard. The playground is located between Grandma’s classroom and the additional facility classrooms. The playground is surrounded by a partial chain link fence and wooden gate. Staff check the area for any harmful objects prior to children playing in the play area and have a rotation schedule to rake the sand each morning. The gardeners come once a week to clean the playground’s leaves and walkways. LPA advised Director that structure's equipment steps located on the playground should be swept off throughout the day to avoid children slipping as the surface is plastic and could cause potential injury. (Tech Advisory issued)

Sign in and out sheets were reviewed for times and full signatures of parents. Director was reminded that full legible signatures are required for safety of children.

Licensing staff reviewed staff records for clearance for adults and verification of CPR/First Aid, current mandated reporting certificates, educational requirements and health preventative practices documentation was reviewed and found to be complete.

Children’s records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file and were found to be complete.

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Carolyn Tuba
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2025

LIC809 (FAS) - (06/04)

Page: 4 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CLAREMONT UNITED CHURCH OF CHRIST ECC	FACILITY NUMBER: 191501775
	VISIT DATE: 06/06/2025

NARRATIVE

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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

No citations were issued during this visit. Facility was compliant with all Title 22 regulations.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Kristy Knight.
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Carolyn Tuba
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2025

LIC809 (FAS) - (06/04)

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