364846596-9-5-2024-09-CC-DBRL-D8TV68-20240905160905

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364846596
Report Date: 09/05/2024
Date Signed: 09/05/2024 04:09:13 PM

Document Has Been Signed on 09/05/2024 04:09 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:	SBCSS VICTORIA STATE PRESCHOOL		FACILITY NUMBER:	364846596
ADMINISTRATOR/ DIRECTOR:	STEPPES, ERNESTINE		FACILITY TYPE:	860
ADDRESS:	1505 RICHARDSON STEET		TELEPHONE:	(909) 387-8517
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92408
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 0	DATE:	09/05/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Nancy Cruz Senior Manager, State Preschool		TIME VISIT/ INSPECTION COMPLETED:	04:30 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 the above noted date and time, Licensing Program Analyst (LPA's), Diana Brasel and Griselda Castellon conducted an announced Pre-Licensing inspection for a New license. Upon arrival LPA's checked in with the elementary school sites front office and met with Facility Representative Nancy Cruz. Applicant is requesting to be licensed for 24 preschool children ages 3 through 5 years of age in room PS1. Hours of operation will be Monday - Friday 7:30 am - 3:30 pm with two sessions, AM session is from 8:00 am - 11:00 am and PM session is from 11:45 am - 2:45 pm. All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Nancy Cruz 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, Nancy Cruz stated that they will be stored in the storage area/room. Medications needing refrigeration will be stored in a locked medicine box in the refrigerator located in the storage area/room. A fully equipped first aid kit is located in office. There is an operational carbon monoxide detector on site located in the room, PS1. All required licensing documents were observed posted in on wall by entrance door. Staff will meet parents/guardians at school sites gate a few 100 yards away from the PS classroom to sign children in and out for both am and pm sessions. Facility Representative stated, the staff will have the required licensing forms available at sign in and sign out of children. LPA continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured 930.38, which is sufficient to accommodate the requested capacity of 24 children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, bookshelves, and other activity supplies for the children.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024

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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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: SBCSS VICTORIA STATE PRESCHOOL	FACILITY NUMBER: 364846596
	VISIT DATE: 09/05/2024

NARRATIVE

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Drinking water is available in the classrooms via drinking fountains. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. The facility had a Fire Inspection on 09/04/2024, the granted STD 850 is pending on this date. A granted fire clearance will be needed prior to licensure.

LPA observed a total of 3 sinks and 2 toilets available for children’s use. These are sufficient to accommodate the requested capacity of 24) children. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be located near staff office door with door closed.

Facility will provide meals to the am and pm session from the elementary school sites cafeteria. The meals will be eaten in room PS1. The kitchen area is located on the elementary school site grounds.
The facility currently has a fully fenced playground area. Fencing is chain link and is at least is at least four feet high. The total square footage for all the outdoor activity space is 6100.00, which is sufficient to accommodate the requested capacity. The facility has submitted a playground waiver to use with the REESD staff and children. Shade is provided via a permanent large built in canopy. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a low climbing structure on the playground for children ages 2-5 and 5-12, labeled A Playcore Company Game Time, which is properly anchored. There is adequate cushioning in fall zones of climber provided by rubber padding. Drinking water is available via igloo and disposable cups. LPA observed all hazardous items on the playground to be inaccessible to children. Facility representative Nancy Cruz was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

LPA reviewed with facility representative the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024

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: SBCSS VICTORIA STATE PRESCHOOL	FACILITY NUMBER: 364846596
	VISIT DATE: 09/05/2024

NARRATIVE

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Criminal Record Clearance - Child Care Centers:
Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

APPLICANT KNOWS PROSPECTIVE CLIENTS WILL NEED IMS:

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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, available at: http://www.ada.gov/childqanda.htm.

MyChildCarePlan.org--Child Care Centers and Family Child Care Home:
Facility representative was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Subscribe to CCLD important information - Child Care Centers and Family Child Care Homes: Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024

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: SBCSS VICTORIA STATE PRESCHOOL	FACILITY NUMBER: 364846596
	VISIT DATE: 09/05/2024

NARRATIVE

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

1. Proof that the child's cubby located by the office and staff restroom has been anchored to the wall
shall be submitted.
2. Proof that the white board cabinet has been anchored shall be submitted.
3. Proof that the drinking faucet on the child's sink shall be submitted.
4. Proof that the ant and wasp mounds located on the outdoor playground by the children's tables
under the canopy have been removed or pest control documentation has been obtained.
5. LPA shall obtain the granted STD 850 fire clearance shall be obtained.

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

Exit interview conducted and report was reviewed with the facility representative Nancy Cruz.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024

LIC809 (FAS) - (06/04)

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