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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376301044
Report Date: 07/25/2024
Date Signed: 07/25/2024 04:45:49 PM

Document Has Been Signed on 07/25/2024 04:45 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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:GRACE PRESBYTERIAN CHURCH PRESCHOOLFACILITY NUMBER:
376301044
ADMINISTRATOR/
DIRECTOR:		MAYER, KATHRYNFACILITY TYPE:
860
ADDRESS:1450 E VISTA WAYTELEPHONE:
(562) 209-3113
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
07/25/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Applicant John Denton, Program Director Kathryn Mayer, & Asst. Director Frankie Zavala TIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On the above noted date and time, Licensing Program Analyst (LPA), Diana Brasel conducted an announced Pre-Licensing inspection for a new preschool and toddler option component. Upon arrival, LPA met with Applicant John Denton, Program Director Kathryn Mayer, & Asst. Director Frankie Zavala. Applicant is requesting to be licensed for 44 preschool age children ages 2-5 in rooms 2, 4, 7, 8, and the Activity room, the toddler option component will be 16 children ages 18 months - 36 months in rooms 2 and 6. The Fellowship Hall will be used for events only with parents/guardians present. The Sanctuary will be used twice a week for approximately 30 minutes each day. Hours of operation will be Monday - Friday 7:00 am - 6:00 pm.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed applicant and director 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, Kathryn Mayer stated that they will be stored in the directors office. A fully equipped first aid kit is located in each classroom. There is an operational carbon monoxide detector on site located each classroom. All required licensing documents were observed posted in each classroom and the parents/guardian sign in area. . Children will be signed in and out at by the front gate.

LPA continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured for the toddler option component is 582.05 and the preschool is 2649.57, which is sufficient to accommodate the requested capacity of 60 Children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via filtered bottle water and disposable cups.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE: DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/25/2024
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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: GRACE PRESBYTERIAN CHURCH PRESCHOOL
FACILITY NUMBER: 376301044
VISIT DATE: 07/25/2024
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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 04/24/24.

LPA observed a total of 7 sinks and 5 toilets available for children’s use. These are sufficient to accommodate the requested capacity of 60 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 directors office.



Facility will provide am and pm snacks. Children's lunches will be brought from home. The kitchen area currently includes refrigerator, freezer, stove, microwave, sinks, dishwasher. The kitchen is shared with the church, the preschool areas will be clearly labeled. The kitchen area and food storage areas were observed 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 a separate building.

The facility currently has a fully fenced playground area. Fencing is chain link is at least four feet high. The total square footage for all the outdoor activity space is for the toddler option playground 653.02 (a waiver time scheduled waiver will be needed for the toddler option program, the preschool outdoor activity space measured 5111.04, which is sufficient to accommodate the requested capacity. Shade is provided via large trees. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on the playground for children ages 2-5. There is adequate cushioning in fall zones of climber provided by wood chips. Drinking water is available via water pitchers and disposable cups. LPA observed all hazardous items on the playground to be inaccessible to children. Applicant John Denton 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).


SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
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 SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: GRACE PRESBYTERIAN CHURCH PRESCHOOL
FACILITY NUMBER: 376301044
VISIT DATE: 07/25/2024
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Criminal Record Clearance - Child Care Centers:
Applicant and Director 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.”

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:
Applicant and director 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: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: GRACE PRESBYTERIAN CHURCH PRESCHOOL
FACILITY NUMBER: 376301044
VISIT DATE: 07/25/2024
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LPA reviewed with applicant and director the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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


1. An approved time scheduled playground waiver for the toddler option components shall be
obtained.
2. An updated Fire Clearance shall be obtained.

Applicant and Director 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 Applicant John Denton, Program Director Kathryn Mayer, & Asst. Director Frankie Zavala.

SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC809 (FAS) - (06/04)
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