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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841698
Report Date: 02/25/2022
Date Signed: 02/25/2022 10:41:40 AM

Document Has Been Signed on 02/25/2022 10:41 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:STONEBRIDGE CHRISTIAN ACADEMYFACILITY NUMBER:
334841698
ADMINISTRATOR:PASLEY, KATHERINEFACILITY TYPE:
850
ADDRESS:4193 BLUFF STREETTELEPHONE:
(951) 520-1000
CITY:NORCOSTATE: CAZIP CODE:
92860
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: DATE:
02/25/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Debra Andrews, Officer ManagerTIME COMPLETED:
10:45 AM
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Due to COVID-19, On 02/25/2022 LPA Kay Phillips conducted a Case Management inspection to provide technical assistance. There were 2 all school closures on the following dates: 08/24/2021 - 08/31/2021 and 10/8/2021 to 10/15/202. Licensing Program Analyst (LPA) Kay Phillips met with Officer Manager, Debbie Andrews. A tour of the facility was conducted and a census was taken.

During the inspection, LPA reviewed and discussed COVID-19 guidelines, resources, and postings with the officer manager. COVID-19 information posters including hand-washing posters were observed in child care areas. LPA observed COVID 19 posters at the entrance of the facility, as well as hand sanitizing stations throughout the facility. Parents complete a daily COVID 19 liability release form and there is a student temperature station, where the child's temperature is taken electronically. There is a shoe sanitizing station where all students sanitize their shoes prior to entering the classrooms. All staff were observed wearing face coverings in the classroom. Most children were wearing face coverings, but there was a small number that were not wearing face coverings. The licensee was advised to follow the child care industry guidelines on face coverings, sanitation and other infection prevention measures.

During today’s inspection the following resources were discussed and provided:
· Community Care Licensing Division’s COVID 19 Information and Resources: https://www.cdss.ca.gov/inforesources/community-care-licensing

· CDPH’s Guidance for Child Care Providers and Programs - updated June 29, 2021: www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Child-Care-Guidance.aspx

· Cal-OSHA - revisions are effective starting on January 17, 2022: https://www.dir.ca.gov/dosh/coronavirus/ETS.html
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 02/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/25/2022
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: STONEBRIDGE CHRISTIAN ACADEMY
FACILITY NUMBER: 334841698
VISIT DATE: 02/25/2022
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· Local Public Health Information:
· Riverside County Public Health:
Tel: (951) 358-5000
Website: https://www.rivcoph.org/
· San Bernardino County Public Health
Tel: (909) 381-8990
Website: http://wp.sbcounty.gov/dph/
· Local Resource and Referral Agencies:
§ Riverside County Office of Education (RCOE):
Tel: (800) 442-4927
Website: https://www.rcoe.us/departments/early-learning-services/early-care-and-education
§ Child Care Resource Center (CCRC):
Tel: (909) 384-8000
Website: https://www.ccrcca.org/

· To report an Unusual Incident Report (UIR), please fax/scan a completed UIR form (within 24 hours of incident occurring), to the Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov or fax to 951-782-4985.

· FORMS: LIC624 (Child Care Center)
· You may also contact the Duty Officer at 951-782-4200
· In addition, Provider Information Notices (PINs) and other resources regarding COVID-19 can be found on our website at: www.cdss.ca.gov

No deficiency was cited during this inspection.

An exit interview was conducted with Officer Manager, Debbie Andrews. LPA provided licensee with a copy of this report and a Notice of Site Visit.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Karrene Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2022
LIC809 (FAS) - (06/04)
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