503810245-8-16-2023-04-CC-JPAO-CURQH7-20230816121041

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503810245
Report Date: 08/16/2023
Date Signed: 08/16/2023 12:10:51 PM

Document Has Been Signed on 08/16/2023 12:10 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	CORNERSTONE CHRISTIAN PS-MONTE VISTA CAMPUS I/T		FACILITY NUMBER:	503810245
ADMINISTRATOR:	STEPHANIE ALBRIGO		FACILITY TYPE:	830
ADDRESS:	700 E MONTE VISTA AVE		TELEPHONE:	(209) 535-0136
CITY:	TURLOCK	STATE: CA	ZIP CODE:	95382
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	08/16/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Amanda Gonzales - Applicant		TIME COMPLETED:	12:30 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 8/16/23, Licensing Program Analyst (LPA) Joseph Pacheco conducted an announced prelicensing inspection and met with Applicant, Amanda Gonzales. Also present was Director, Stephanie Albrigo. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The Applicant is currently licensed to operate a preschool age program on this site but is requesting a license to operate an infant program with a capacity of 8 infants including 6 crib infants in the Nursery Classroom. This program will operate year round Monday – Friday, 7:30am – 5:00pm. Parents will sign their children in and out at each classroom. Staff conduct daily health checks and conduct a risk assessment. Applicant stated that the parents will provide all food and snacks along with infant formula and diapers. Facility does have a supply on hand of these items in the event a child is sent to school without them. Ill children will be isolated in the Director’s office in the same building but physically separate from the classroom and utilize the staff bathroom in the lobby building. The classroom was observed to be clean and free of toxins. LPA observed that the furniture and equipment appeared to be safe and in good condition. There are enough tables, chairs, sleeping mats, cribs and plenty of toys for children to play. Applicant stated that facility will provide sheets for their child’s crib or sleeping mat for napping. LPA observed a changing table is within arms reach of a sink. LPA did not observe adequate space between cribs and sleeping mats in the infant sleeping area. LPA also reminded Applicant not to store anything on top of high bookcases/storage cabinets that could potentially fall on children. There is a working carbon monoxide detector. LPA reviewed with Applicant, that any future changes to the classrooms are required to ensure that furniture does not tip over on to children, the furniture are to be anchored or situated that tipping does not occur. Classroom changes of furniture shall be situated that 100% visual supervision is always provided to children in care. Applicant is aware the ratio is 1 Teacher to 4 infants and will follow the regulations. Room measurements were taken and reviewed with Applicant. The total inside infant area measured to an approximate 655 square feet which will accommodate the requested capacity of 8 infants. CONTINUED ON LIC809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CORNERSTONE CHRISTIAN PS-MONTE VISTA CAMPUS I/T	FACILITY NUMBER: 503810245
	VISIT DATE: 08/16/2023

NARRATIVE

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Applicant understands that children's equipment needs to match the licensed capacity. Toys and equipment appear to be age appropriate.
Applicant is doing the following to provide accessible drinking water to children in care: Applicant is providing filtered water from a water vendor service. Parents will provide children with water bottles to fill from home. Staff will fill up children’s water bottles and the children will take them outside during outdoor activities.
The approximate outside square footage for the infant area is 821 square feet which will accommodate requested capacity of 8 infant children.
LPA observed age appropriate toys and play equipment. No high climbing equipment was observed. Shade is provided by a tarp. LPA reminded Applicant to provide adequate supervision at all times. A fire clearance for 8 infant children was approved and granted by the Turlock Fire Department on 6/5/23.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicant 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated 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
CONTINUED ON LIC809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CORNERSTONE CHRISTIAN PS-MONTE VISTA CAMPUS I/T	FACILITY NUMBER: 503810245
	VISIT DATE: 08/16/2023

NARRATIVE

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The following items must be completed prior to issuing a license by 8/25/23 or sooner.

Inside Daycare:
1) Purchase and install caps for the toilet bolts.
2) Purchase first aid scissors for the first aid kit.
3) Create more space in the infant sleeping area so that there is a walkway and work space between the cribs and sleeping mats and that entrance to and from the sleeping area is not hindered.

Pending a final file review and completion of the above item, a recommendation will be made to license the above facility for the requested capacity of 8 infant children.

LPA reviewed with applicant 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 documents should be posted at the facility:
* PUB 269- Child passenger restraint systems poster 101225(f) Transportation
* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)
* Activity Schedule
* Lead Poisoning brochure

Applicant 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.
CONTINUED ON LIC809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CORNERSTONE CHRISTIAN PS-MONTE VISTA CAMPUS I/T	FACILITY NUMBER: 503810245
	VISIT DATE: 08/16/2023

NARRATIVE

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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.

Exit interview conducted and report was reviewed with the Applicant, Amanda Gonzales.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

LIC809 (FAS) - (06/04)

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