Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360908925
Report Date: 04/06/2016
Date Signed 04/06/2016 11:39:09 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:CHRIST THE KING LUTHERAN SCHOOLFACILITY NUMBER:
360908925
ADMINISTRATOR:CHRISTINE CHERNOBIEFFFACILITY TYPE:
840
ADDRESS:1505 SOUTH FORD STREETTELEPHONE:
(909) 793-8722
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:88CENSUS: 0DATE:
04/06/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Sheri CoeTIME COMPLETED:
11:43 AM
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(3) A Random Annual visit is being conducted as a compliance review. Licensing Program Analyst (LPA), Sharon Sparhawk, toured the school-age center, inside and out. The following was observed:
· The facility is operating within the terms of the license. There are no school age children present during the time of this visit. Classrooms are equipped with age appropriate furniture and equipment in good condition. Classrooms are clean and free of hazards. No weapons stored at the facility per Ms. Coe. Medications are stored where inaccessible to children. Incidental Medical Services are provided at this CCC. The plan was reviewed and is complete. Hazards are stored where inaccessible to children. Toxins are locked. Bathrooms were observed to be safe, sanitary and in operating condition
· Playgrounds are enclosed by appropriate fences and free of hazards. There is a waiver on file for the school age children to use one of the preschool playgrounds from 2-6 PM. Outdoor activity areas are supplied with age and size appropriate equipment in good condition. There is a water fountain in the main courtyard that LPA observed with flowing water and River rocks. The rocks are higher than the water line and thus the water is inaccessible to children. Food preparation area is clean and free of vermin. Food is stored appropriately and protected from contamination
· Sign in/Sign out record was reviewed and meets regulation requirements. Facility has a waiver on file to use a computerized sign in/out system.
· Staff member’s CPR/First Aid expires on 1-2017. Required emergency contact forms were reviewed as well as the files of 6 children.
· A review of staff records on 4-6-16 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Sharon SparhawkTELEPHONE: (951) 529-2439
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2016
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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHRIST THE KING LUTHERAN SCHOOL
FACILITY NUMBER: 360908925
VISIT DATE: 04/06/2016
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· The facility representative was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If this requirement is not met, a civil penalty in the amount of $100 will be assessed.
· - AB 2084 - Nutritious Beverages in Child Care Facilities effective January 1, 2012 - was explained that only low-fat or non-fat milk is to be served to children 2 years of age or older; and limit juice to one serving of 100% juice per day; serve no beverages with added sweeteners; and water must be available and accessible to children throughout the day.
· AB 978 – Zero Tolerance Related Regulations went into effect January 18, 2011 – In accordance with California Health and Safety Code Section 1596.99(c)/1597.58(c) – it was explained that an immediate $150 Civil penalty will be assessed for each serious violation and a civil penalty of $150 per day per violation will be assessed until corrected.
· AB 2621 Effective 1596.819. (a) Except as otherwise prohibited by law, the department shall post licensing information on its Internet Web site as follows: (1) For each child day care facility as defined in Section 1596.750, except family day care homes, the information shall include, but is not limited to, the name and address of the facility, the licensed capacity of the facility, the status of the license, and the number of site visits, including the number of citations, substantiated and inconclusive complaint inspections, and non-complaint inspections during the preceding five -year period. (b) The department shall update the information posted under subdivision (a) on at least a monthly basis.
· AB 2386 – Effective January 1, 2015 Health and Safety Code 1596.954 states: Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

There are no Title 22 deficiencies noted during the time of this visit

Exit interview conducted and a copy of this report was reviewed and left at the facility with the Director Ms. Coe along with the Notice of Site Visit. A copy of this report must be made available to the public for 3 years. Form LIC 200A was left to be completed/updated and mailed back to CCL ASAP.
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Sharon SparhawkTELEPHONE: (951) 529-2439
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2016
LIC809 (FAS) - (06/04)
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