270700474-3-4-2024-07-CC-ELAS-D32NXS-20240304095138

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 270700474
Report Date: 02/07/2024
Date Signed: 03/04/2024 09:51:45 AM

Document Has Been Signed on 03/04/2024 09:51 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	NORTHMINSTER PRESBYTERIAN PRESCHOOL/KINDERPREP		FACILITY NUMBER:	270700474
ADMINISTRATOR:	JERRIANNA HAGIO		FACILITY TYPE:	850
ADDRESS:	315 EAST ALVIN DRIVE		TELEPHONE:	(831) 449-5676
CITY:	SALINAS	STATE: CA	ZIP CODE:	93906
CAPACITY: 72	TOTAL ENROLLED CHILDREN: 72	CENSUS: 23	DATE:	02/07/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Jerrianna Bigham		TIME COMPLETED:	04:00 PM

NARRATIVE

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Licensing Program Analyst (LPA) Elizabeth Larios conducted a unannounced Required-3 year inspection. LPA met with Jerrianna Bigham and explained the nature of today's visit. LPA toured the facility both inside and outside during todays visit. The hours of operation are Monday - Friday, 7:00am - 5:30pm. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule.

LPA reviewed children's files during today's visit. Each child's file reviewed contains the Information and Emergency Information form (LIC 700), immunization records, physicians report, personal rights, and parents rights.

LPA will resume inspection at a later time.

Exit interview was conducted, where this report was reviewed and discussed with Jerrianna Bigham. A copy of this report was also provided.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024

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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