334845384-6-1-2022-10-CC-SBRR-CEYS86-20220601133837

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334845384
Report Date: 06/01/2022
Date Signed: 06/01/2022 01:38:48 PM

Document Has Been Signed on 06/01/2022 01:38 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME:	TVUSD ALAMOS ELEMENTARY SCHOOL		FACILITY NUMBER:	334845384
ADMINISTRATOR:	AMI PARADISE		FACILITY TYPE:	850
ADDRESS:	38200 PACIFIC PARK DRIVE		TELEPHONE:	(951) 294-6760
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92563
CAPACITY: 16	TOTAL ENROLLED CHILDREN: 14	CENSUS: 13	DATE:	06/01/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Principal Jenniffer Aynesworth and Lead Teacher Sandra Arrellano		TIME COMPLETED:	01:50 PM

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On 06/01/2022 at 8:45 AM Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct a 1 year required annual inspection. LPA was granted entry by Pre-school Clerk 2- Heather Quinlan, and Lead Teacher Sandra Arrellano. LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following: LPA conducted census of 13 pre-school children and 2 staff present, Principal Jenniffer Aynesworth, was present at the facility.

NORMAL DAYS & HOURS OF OPERATION: Monday- Friday, 7:30 AM to 4:30 PM, Fiscal School Year Calendar days, program hours are 8:30 AM to 3:00 PM in Classroom 46; WAIVER ON FILE: Shared Outdoor Play Area, Boys & Girls Restrooms and hallway sinks.

The inspection consisted of reviews of the following domains: Food Service; Reporting Requirements

Physical Plant; Care and Supervision; Children Records; Staff Records; Staffing Ratio and Capacity and
Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC809D. Deficiencies were not cited this visit.
The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days:
1. LIC 500 Personnel Report
2. LIC 610 Emergency & Disaster Plan: Update needed for current information and 2^nd relocation site
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization: Update needed for new Director Ami Paradise. Include changes to Board Resolution and most recent Board Meeting Minutes for changes and designations of Administrative Responsibility.
5. LIC 308 Designation of Administrative Responsibility: Updated needed for Director Ami Paradise.
The following items have been posted and are updated where necessary:
License, Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148)

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2022

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: TVUSD ALAMOS ELEMENTARY SCHOOL	FACILITY NUMBER: 334845384
	VISIT DATE: 06/01/2022

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Parent’s Rights Poster (PUB393), Personal Rights (LIC613A); Child Car Seat Law, Menu.
· The facility is operating within the terms of the license on 06/01/2022.
· Ratios were met and appropriate supervision was provided during this inspection on 06/01/2022
· Classrooms are clean, free of hazards and equipped with age appropriate furniture and equipment in good condition
· No weapons stored at the facility on 06/01/2022.
· There are no accessible bodies of water present on 06/01/2022. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Medications are normally stored where inaccessible to children in the school nurse’s office located at the front reception area of the school. The nurse’s office is also designated area for children who become ill and await pick up by parents.
· Hazards are stored where inaccessible to children which include: Disinfectants, cleaners and other items that are dangerous. Poisons and toxins are locked on 06/01/2022.
· All floors are clean and safe.
· Bathrooms were observed to be safe, sanitary and in operating condition on 06/01/2022. An alternate restroom is available in the nurse’s office for children who become ill.
· Outdoor activity areas/playgrounds are enclosed by appropriate fences, free of hazards and are supplied with age and size appropriate equipment in good condition on 06/01/2022.
· Food preparation area is clean, free of litter, rubbish and free of rodents and other vermin.
· Measures are taken to keep the facility free of flies, other insects and rodents.
· Food is stored appropriately and protected from contamination in the school cafeteria and lunches provided for the preschool.
· Storage containers for solid waste, including moveable bins-have tight-fitting covers in good repair.
· Menus are posted at least one week in advance in a place visible by the child’s authorized in the classroom, representative, dated and kept on file for 30 days, and made available upon request.
· Uncontaminated drinking water shall be readily available both indoors and out and provided by water igloo, disposable cups and children bring personal water bottles from home.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall: Facility has rubber turf and natural grass on 06/01/2022.
· Sign in/Sign out record was reviewed and meets regulation requirements: On 06/01/2022.
· A Staff member is present with current Pediatric CPR/First Aid which expires on 12/2023.
· Opening and closing staff member’s CPR/First Aid on COMPLETED 03/22/2021 expires: 03/2023

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2022

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: TVUSD ALAMOS ELEMENTARY SCHOOL	FACILITY NUMBER: 334845384
	VISIT DATE: 06/01/2022

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· Principal Jenniffer Aynesworth, completed Health and Safety Training on 07/30/2000.
· Staff qualifications and files were reviewed and are complete: Verified on 06/01/2022.
· Staff have received on the job training for housekeeping, sanitation and universal health precautions
Licensee was informed the Department has inspection authority per Health and Safety Codes.
Licensee provided the Unusual Incident Reporting email: UnusualIncidentReportsDO10@dss.ca.gov
· Children files were reviewed and are complete on 06/01/2022.
· Documentation of fire & earthquake drills to be conducted every six months: Last drill on 05/12/2022 at 9:30 AM and lasted 15 minutes.
· AB2370–Lead Exposure, day care facilities, effective January 1, 2019: Posted for public on 06/01/2022.
The bill requires that all Child Care Centers, operating in a building constructed before January 1, 2010, shall have their drinking water tested for excessive lead levels, on or after January 1, 2020, but no later than January 1, 2023. Child Care Centers must thereafter test their drinking water every five years after the date of the initial test.
· AB605 – Child day care facilities, birth to school-age license; Effective January 1, 2021
· AB2960 – Child care and development services, online portal – Effective June 20, 2022 - This bill requires the State Superintendent of Public Instruction (SSPI), within the California Department of Education (CDE), to develop and post on CDE's website a comprehensive child care and development services online portal for families and providers by June 30, 2022.
This facility provides Incidental Medical Services – IMS. On 06/01/2022 LPA reviewed storage area for medications in the nurse’s office next to the school’s front office and equipment/supplies and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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 For CCCs: Incidental Medical Services (IMS) policy was discussed.

Facility Representative Jenniffer Aynesworth, was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2022

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: TVUSD ALAMOS ELEMENTARY SCHOOL	FACILITY NUMBER: 334845384
	VISIT DATE: 06/01/2022

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To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

No cited deficiencies.

No Civil Penalty has been assessed during this inspection.

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

Exit interview conducted and report was reviewed with the licensee Principal Jenniffer Aynesworth.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2022

LIC809 (FAS) - (06/04)

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