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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010200027
Report Date: 06/23/2021
Date Signed: 06/23/2021 01:59:00 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/23/2021 01:59 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:SUNSET CHRISTIAN PRESCHOOLFACILITY NUMBER:
010200027
ADMINISTRATOR:ANDERSON, ANDREAFACILITY TYPE:
850
ADDRESS:2200 ARROYO ROADTELEPHONE:
(925) 443-5594
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 70TOTAL ENROLLED CHILDREN: 0CENSUS: 32DATE:
06/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Andrea AndersonTIME COMPLETED:
12:00 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 06/23/2021 Licensing Program Analyst (LPA) Jaylena Miller conducted an UNANNOUNCED ANNUAL REQUIRED INSPECTION. LPA met with Director Andrea Anderson and the facility was toured to conduct a Health and Safety Inspection. Also present at the time of this inspection was 5 staff and 32 children. The facility is within ratio and capacity compliance today. This program operates out of 2 classrooms in building “B”, B2 is for the 2 and 3 year olds and B7 is for the 4 year olds. Both classrooms were inspected for age appropriate furnishings, equipment, and adequate storage for children’s belongings. LPA observed the cleanliness of floors and surfaces, the presence of working carbon monoxide detectors, smoke detectors/fire alarms and a fully charged fire extinguisher size 2A-10BC that is accessible. The bathrooms have age appropriate faucets and toilets in working condition. The outdoor play area is fully fenced. There is padding under/around the climbing equipment. The play structures appear to be fully intact with no visual defects or concerns. There are no pools, hot tubs or other accessible bodies of water. Cleaning supplies/toxins are stored inaccessible to children. All required postings are present. The facility is currently not serving any meals or snacks due to COVID-19. The facility does have a filtered water dispenser that children are able to use to refill their water bottles, Dixie cups are available in case a child forgets their reusable cup. Director states there are no children who currently require the storage of medications or medical equipment/supplies on site. Per director, there are no firearms present on the premises.

A copy of the facility personnel roster and children’s roster was obtained. LPA reviewed the file of 5 children enrolled in the program and 5 staff members files, who are fingerprint cleared as well as proof of immunization's. The opener S1 and closing S2 have current CPR/First Aid certificates that expire 02/28/2022 respectfully, and proof of education and/or experience was also present. The center also conducts and documents fire and earthquake drills once every 6 months and the logs show that drills were conducted on 3/2021.

LPAs also discussed with the Director that ALL assistants. Volunteers, frequent visitors, over the age of 18, must be fingerprint cleared and associated prior to being in the presence of children in care. An immediate civil penalty will be assessed from $100 to $3000 per person, per incident.

See LIC 809-C for continuance

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jaylena Miller
LICENSING EVALUATOR SIGNATURE: DATE: 06/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2021
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
Document Has Been Signed on 06/23/2021 01:59 PM - It Cannot Be Edited


Created By: Jaylena Miller On 06/23/2021 at 12:18 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: SUNSET CHRISTIAN PRESCHOOL
FACILITY NUMBER: 010200027

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/23/2021
Section Cited
HSC
1596.8662(b)(1)

1
2
3
4
5
6
7
1596.8662 training for mandated reporter ... employee of a licensed child day care facility ... proof of completion (b)(1) renewal mandated reporter training every two years. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
The director shall ensure that all employees completes the renewal of the mandated reporter training and send an electronic copy of it to LPA Miller by 07/23/21.
8
9
10
11
12
13
14
Based on a review of the records the director did not ensure that employee's mandated reporter training had been renewed, which poses a potential Health and Safety risk to persons in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Wynn Norona
LICENSING EVALUATOR NAME:Jaylena Miller
LICENSING EVALUATOR SIGNATURE:
DATE: 06/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/23/2021


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: SUNSET CHRISTIAN PRESCHOOL
FACILITY NUMBER: 010200027
VISIT DATE: 06/23/2021
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 of the responsibility as a mandated reporter and the trainings must be done once every two years. LPA also encouraged the Director to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, as well as all forms can be downloaded.

Individual Medical Services (IMS) policy was discussed. The Director is reminded that when any changes to the IMS plan is made, an updated Plan for Providing 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care centers and the ADA website at: http://www.ada.gov/childganda.htm.



For licensing updates, email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list

Effective August 1, 2003 California Law requires Child Care licensees to report unusual incidents or injuries to children in care to child’s parents and to the Department of Social Services using the Unusual Incident/Injury for (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Written report must be submitted within 7 business days.

After a complete inspection of the facility, the attached Type B deficiency was cited, See LIC 809-D

Exit interview was conducted with the facility director and the appeal rights were issued. A Notice of site visit was issued and posted. This notice is to be posted for 30 consecutive days. A copy of this report is to remain in the facility records for three years following today’s date.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jaylena Miller
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3