Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364804037
Report Date: 09/01/2015 12:00:00 AM
Date Signed 09/01/2015 02:37:57 PM

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:WESTSIDE CHRISTIAN PRESCHOOLFACILITY NUMBER:
364804037
ADMINISTRATOR:KATHLEEN HAMPTONFACILITY TYPE:
850
ADDRESS:1495 WEST OLIVE STREETTELEPHONE:
(909) 793-5811
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY:75CENSUS: 0DATE:
09/01/2015
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
11:38 AM
MET WITH:Deborah SornosoTIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA), Sharon Sparhawk conducted a comprehensive Required Annual visit.
· A review of a sampling of the staff records and children's records were conducted as part of this evaluation. See Children’s Records Review (LIC 857) and Staff Records Review (LIC 859)
· The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days:
1. LIC 500 Personnel Report
2. LIC 610 Emergency & Disaster Plan- current form is needed
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization- current form is needed
5. LIC 308 Designation of Administrative Responsibility (only if changes have been made)
· The following items have been posted and are updated where necessary:
- License
- Emergency Disaster Plan (LIC 610) and Earthquake Preparedness Checklist (LIC 9148)
- Parent’s Rights Poster (PUB 393)
- Personal Rights (LIC 613A),Child Car Seat Law, and the Menu

Last fire drill was conducted on 5-5-15 and the last earthquake drill was completed on 5-13-15. The carbon monoxide detector was tested during this visit.

Incidental Medical Services were discussed with Ms. Sornoso on this visit. Ms. Sornoso stated they do provide Incidental Medical Services and agreed to submit a written plan within 30 days.
SUPERVISOR'S NAME: Marianne DonleyTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Sharon SparhawkTELEPHONE: (951) 529-2439
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2015
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: WESTSIDE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 364804037
VISIT DATE: 09/01/2015
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· The licensee has been informed that all employees must be associated to the facility. If the licensee fails to have proof of a fingerprint clearance or fails to associate a previously cleared individual to the facility, a civil penalty of $100.00, per day the person has been present, will be assessed. The first violation is subject to the penalty for up to five days. If there is a subsequent violation in a 12 month period, the fine will continue for up to 30 days.
· A review of staff records on 9-1-15 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
· 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 a serious violation is cited, a copy of the licensing report (LIC809 or LIC 9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.
· Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months. The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.
· - 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
SUPERVISOR'S NAME: Marianne DonleyTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Sharon SparhawkTELEPHONE: (951) 529-2439
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2015
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: WESTSIDE CHRISTIAN PRESCHOOL
FACILITY NUMBER: 364804037
VISIT DATE: 09/01/2015
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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

An exit interview was conducted and a copy of this report was provided to the director, along with the Notice of Site Visit. A copy of this report shall be made available to the public for 3 years.

The following document is needed by 9-8-15: An updated LIC 200A,
SUPERVISOR'S NAME: Marianne DonleyTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Sharon SparhawkTELEPHONE: (951) 529-2439
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2015
LIC809 (FAS) - (06/04)
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