<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412020
Report Date: 08/11/2023
Date Signed: 08/11/2023 02:00:12 PM

Document Has Been Signed on 08/11/2023 02:00 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:MONARCH CHRISTIAN SCHOOLFACILITY NUMBER:
434412020
ADMINISTRATOR:R.CONCEPCION, A.REINMANFACILITY TYPE:
850
ADDRESS:1715 E. CALAVERAS BLVD.TELEPHONE:
(408) 263-4840
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 0DATE:
08/11/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Director Emelyn MalabananTIME COMPLETED:
02:30 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 Friday, August 11, 2023 at 12:30 PM, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Required 1 Year Visit. LPA met with the Director Emelyn Malabanan and explained the purpose of today's visit. Present on this visit were 4 staff and no preschool children. The facility's Summer Camp ended yesterday, 8/10/2023 and new school year starts on 8/21/23. Facility operates from Monday to Friday 8:00 AM to 6:00 PM.

LPA toured the facility with the Director to conduct a Health and Safety Inspection. Facility’s License, Parents’ Rights Poster, Personal Rights, Activity Schedules and Waiver were observed to be posted.

Classrooms 1 to 4 are the licensed rooms. The classrooms, restrooms, pantry, storage room, and office area were inspected. Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment such as mats, cots, tables, and chairs were age appropriate and were in good condition, free of sharp, loose, or pointed parts. Restrooms for children's use were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. There is a separate Staff Restroom located inside the Church next to the Facility. LPA reminded the Director that firearms and other weapons shall not be allowed on or stored on the premises of a child care center.

Outdoor activity space is fenced and was inspected. The play equipment was maintained in a safe condition and free of hazards. There were no bodies of water observed. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were shaded rest areas for children. Drinking water will be arranged to be readily available to children during indoor and outdoor activities.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: MONARCH CHRISTIAN SCHOOL
FACILITY NUMBER: 434412020
VISIT DATE: 08/11/2023
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
26
27
28
29
30
31
32
Children's lunches and AM PM Snacks are brought from home. Trash cans for solid waste had tight-fitting covers on and were in good repair. LPA observed Smoke and Carbon Monoxide Detectors, fire pull stations and fire extinguishers. The facility conducted Fire and Disaster Drills monthly and last drills were conducted on 7/13/23. Facility has a Fire Inspection Permit that expires on 12/31/2023. Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in park vehicles.

Facility files were reviewed. Facility have waivers to use outdoor play area usage. Children sign in and out logs were reviewed. A sampling of Children's files was taken for review. The records reviewed include Admission Agreement, Identification and Emergency Information, Medical Assessment, and Immunization. A sampling of Staff's files was taken for review. There was at least one Teacher with current certification in Pediatric CPR and First Aid present at the facility during inspection. LPA reminded the Facility Representative that AB 1207 Child Care Providers training online at https://mandatedreporterca.com/ requires 2 year requirement. LPA reviewed Staff Immunization records of Measles and Pertussis immunization, Influenza vaccination and TB clearance. LPA reminded Facility Representative that only the Influenza vaccination can be decline with a written declination. LPA obtained copies of an updated LIC 500 and Facility's Children's Roster.

Director stated that facility does handle medications and does currently have children in care who requires Incidental Medical Services - IMS Epinephrine and Inhaled Medication. LPA reviewed storage of medication 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.

LPA reminded the Director that providers must complete the new ARPA survey to be eligible to receive any new ARPA-funded investments, INSPECTION AUTHORITY OF THE DEPARTMENT, LIC 622 CENTRALLY STORED MEDICATION AND DESTRUCTION RECORD and LIC 9221 PARENT CONSENT FOR ADMINISTRATION OF MEDICATIONS AND MEDICATION CHART.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: MONARCH CHRISTIAN SCHOOL
FACILITY NUMBER: 434412020
VISIT DATE: 08/11/2023
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
26
27
28
29
30
31
32
Director was reminded that all adults 18 and over, 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 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.

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/inspection-process.

There are no deficiencies cited on this visit.

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



Exit interview conducted and report was reviewed with the Director Emelyn Malabanan.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3