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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846637
Report Date: 04/15/2025
Date Signed: 04/15/2025 04:27:19 PM

Document Has Been Signed on 04/15/2025 04:27 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CROSSROADS CHRISTIAN PRESCHOOLFACILITY NUMBER:
334846637
ADMINISTRATOR/
DIRECTOR:		DIAZ, AMANDAFACILITY TYPE:
860
ADDRESS:2380 FULLERTON AVENUETELEPHONE:
(951) 278-3196
CITY:CORONASTATE: CAZIP CODE:
92881
CAPACITY: 208TOTAL ENROLLED CHILDREN: 208CENSUS: 0DATE:
04/15/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:50 AM
MET WITH:Penny Morrison Director and Monique Garcia Asst.DirectorTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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On the above noted date and time, Licensing Program Analyst (LPA), Diana Brasel conducted an announced Pre-Licensing inspection to add an infant component to the facilities current Preschool component. The facility currently holds a Preschool license, number is 334819356. Upon completion of licensing the infant component the facility will become a single license under # 334846637 with the infant and preschool components, the existing license will be closed as a single license conversion. Upon arrival, LPA met with Penny Morrison Director and Monique Garcia Asst.Director. On today's visit the requested capacity for infant and preschool were updated with an updated LIC 200A. Licensee is requesting (45) infants ages 6 months - 24 months in rooms 1, 2, and 3, (180) preschool children ages 2 to 6 in rooms 4, 5, 6, 7, 11, 12, 13, 14, 15, and 16. Days and Hours of operation will be Monday - Friday 6:00am - 6:00pm. On today's visit consulting was conducted and measuring of all rooms for the infant and preschool components.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Penny Morrison that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, they are stored in the main office. A fully equipped first aid kit is in the main office, smaller first aid kits are in each classroom. There is an operational carbon monoxide detector on site located in each classroom and hard wired within the building. All required licensing documents were observed posted in the main office and in each room. Children will be signed in and out at in the child's assigned room.
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/15/2025
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CROSSROADS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 334846637
VISIT DATE: 04/15/2025
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Facility will provide am and pm snacks, children bring lunches from home. The facility has a kitchen area which currently includes industrial refrigerator, freezer, multiple sinks, two stoves/ovens, industrial microwaves, and a large ice maker. The kitchen for parents that choose to pay for lunches. The kitchen area and food storage areas were observed to be free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials. Hazardous items in kitchen are inaccessible to children via locked cabinet separate.

LPA continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured for infant 2194.61 (rooms 1,2, &3), which is sufficient to accommodate the requested capacity of (45) children and preschool 7996.41 (rooms 4,5,6,7,11,12,13,14,15, & 16), which is sufficient to accommodate the requested capacity of ( ) children. LPA observed all indoor activity space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, cribs, napping cots for infants who can climb out of a crib, bookshelves, and other activity supplies for the children. Toys are safe with no sharp edges, splinters, or points, nor made of small parts that can present a choking hazard. Drinking water is available in the classrooms via filtered water from drinking fountain, parents bring children's waters and the facility has disposable paper cups. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property.

Fire clearance was granted on 2/18/25. An updated fire clearance will be generated to reflect the change in infant and preschool only and requested capacity.

There is at least one potty chair or toilet for every five infants. LPA observed a total of (3) sinks and (3) toilets for infant, (31) sinks and (14) toilets for preschool available for children’s use. These are sufficient to accommodate the requested capacity of (45) infant children and (180) preschool children. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the main office.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CROSSROADS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 334846637
VISIT DATE: 04/15/2025
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High chairs and feeding tables have broad-based legs, plastic seats are in good repair and trays lock onto chairs. High chairs are made of washable, moisture-resistant material. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. Cribs meet regulatory requirements. Crib area is separated from activity space via a solid wall. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children with a staff present in napping area. Sleep logs are kept in each room. Needs and Services Plans and Sleep Plans are kept in each room.

The facility currently has a fully fenced playground area which is separate from each component. Fencing is wrought iron which is at least four feet high. The total square footage for all the outdoor activity space is 2269.95 for infants, which is insufficient for the number of children being requested. A playground waiver to share the playground at different times in the AM and PM due to limited square footage shall be submitted and approved prior to licensure. Shade is provided via easy ups, trees, and building overhang for infants and playground equipment built in shade coverings, trees, umbrellas, easy ups and building overhang for the two preschool playgrounds. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on each preschool playground, which age appropriate and properly anchored. There is adequate cushioning in fall zones of climber provided by wood chips. The infant playground is artificial turf with no climbing structures. Drinking water is available via children's water bottles. LPA observed all hazardous items on the playground to be inaccessible to children. Director Penny Morrison Director was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

The following corrections are needed prior to the issuance of the single license:

1. A written statement that the hot water for the adult sink/diaper changing sink in rooms 1 and 2 has been repaired. -continued on LIC 809C-

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CROSSROADS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 334846637
VISIT DATE: 04/15/2025
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-continued correction needed.

2. Proof that the large gap at the bottom of the wrought iron fence (back left side) between the infant and preschool playground has been corrected.

3. Proof that the wrought iron fencing around the AC units has been repaired or replaced due to rust.

4. Proof that the concrete area on the infant playground that has a large chipped has been repaired.

5. Proof that the rain drain located on the infant playground has been made inaccessible or repaired to prevent access to sharp bottom and rust.

An approved granted waiver is needed for the infant playground.


Director Penny Morrison Director understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

Upon proof of all corrections and the approved granted outdoor infant playground waiver, the facility will be granted a single license for infant and preschool.

An exit interview was conducted, report reviewed with the director and a copy provided on this date.
NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Diana Brasel
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC809 (FAS) - (06/04)
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