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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412020
Report Date: 08/15/2022
Date Signed: 08/15/2022 01:43:46 PM

Document Has Been Signed on 08/15/2022 01:43 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:
08/15/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Emelyn MalabananTIME COMPLETED:
02:00 PM
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On Monday, August 15, 2022 at 10 AM, 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 2 staff and no preschool children. 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 School Year 2022 - 2023 will start on 08/17/2022. 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. The Director stated that facility does not possess nor store any weapons on the premises. 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.

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.

SEE 809 C.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2022
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: MONARCH CHRISTIAN SCHOOL
FACILITY NUMBER: 434412020
VISIT DATE: 08/15/2022
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Continuation.

The Director stated that students may bring lunch and snacks from home. Snack are also available and may be provided by the facility. LPA observed food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans for solid waste had tight-fitting covers on and were in good repair.

Facility files were reviewed. At 12:30 pm, LPA reviewed the Children sign in and out logs with the Director.

At 11 am, a sampling of Children's files was taken for review by the LPA. The records reviewed include Admission Agreement, Identification and Emergency Information, Medical Assessment, and Immunization.

At 11:30 am, a sampling of Staff's files was taken for review by the LPA. The Director's Pediatric CPR and First Aid is current. LPA reminded the Director that AB 1207 Child Care Providers training online at https://mandatedreporterca.com/ requires 2 year requirement. Records reviewed Staff Immunization records of Measles and Pertussis immunization, Influenza vaccination and TB clearance. LPA reminded the Director that only the Influenza vaccination can be decline with a written declination.

LPA obtained copies of LIC 500 Personnel Roster and LIC 9040 Facility's Children's Roster.

LPA discussed the PIN 20-12 CCP, Guardian New User Information and PIN 22-10-CCP UPDATED GUIDANCE FOR CHILD CARE PROVIDERS REGARDING CORONAVIRUS DISEASE (COVID-19).

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.

SEE 809.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: MONARCH CHRISTIAN SCHOOL
FACILITY NUMBER: 434412020
VISIT DATE: 08/15/2022
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Continuation.

LPA observed Smoke and Carbon Monoxide Detectors, fire pull stations, fire extinguishers and sprinkler system. Facility conducted a Fire and Earthquake Disaster Drills on June and July 2022, respectively.

Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in park vehicles.

Facility Representative 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 Facility Representative, Emelyn Malabanan
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2022
LIC809 (FAS) - (06/04)
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