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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416767
Report Date: 09/05/2024
Date Signed: 09/05/2024 12:42:31 PM

Document Has Been Signed on 09/05/2024 12:42 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:HARVEST CHRISTIAN PRESCHOOL/DAYCAREFACILITY NUMBER:
013416767
ADMINISTRATOR/
DIRECTOR:		DISLA DE PEREZ, JUANAFACILITY TYPE:
850
ADDRESS:4360 HANSEN AVENUETELEPHONE:
(510) 713-8748
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 98TOTAL ENROLLED CHILDREN: 21CENSUS: 18DATE:
09/05/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Juana PerezTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On September 5, 2024 at approximately 8:15am, Licensing Program Analyst (LPA) Randy Miranda arrived unannounced for an annual inspection for compliance to Health and Safety. LPA could not enter the school grounds due to a keypad-numbered lock. LPA contacted Director Perez via telephone, for permission to enter through the gate. At 8:25am, a school teacher arrived and allowed LPA to enter and setup inside the Director’s office. Present for the inspection was the site director Juana Perez, 4 teachers, and 18 children in care (all preschool age). The facility is in ratio today.

At approximately 8:45am Director Perez arrived and met with LPA. Director provided LPA with Childrens Roster; Staff Files; Children's files; Sign in/out sheets; and fire drill logs. At approximately 9:20am LPA and Director toured the facility. Classrooms have trash cans with tight fitting covers for the disposal of solid waste. Each classroom has functioning cold-water sinks with adequate soap and paper towels.

The facility has 5 classrooms (3 are not in use at this time), a small kitchen/food prep area; 2 children’s bathrooms; a Chapel; and outside playground area surrounded by a 6-foot chain link fence. There are sturdy play structures, LPA observed that all play equipment is in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall.



There is water available for the children and they also bring their own bottled water to school. Shade is available in the playground area and teachers are always present when the children are outside. Children’s bathrooms are available and contain enough towels and soap supplies. The staff have a separate adult stall not used by the children. Fire and Earthquake disaster drills are conducted monthly, the last drill was conducted 9/3/2024.

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SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: HARVEST CHRISTIAN PRESCHOOL/DAYCARE
FACILITY NUMBER: 013416767
VISIT DATE: 09/05/2024
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The facility has fully charged 3A40BC fire extinguishers throughout the hallways and classrooms. Johnson Controls Security Devices conducts the fire systems inspections, the last inspection was completed on 6/26/2024. All smoke detectors and the fire system are in good working order and passed inspection. Carbon monoxide detectors were present, tested and functioning. Heating and ventilation in the classroom are acceptable.

The facility is clean and well organized with ample age-appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free. Hazardous items/toxins are kept out of the access of children.

There are no bodies of water accessible to children in care. The facility provides snacks for the children, menus were appropriately posted throughout the facility. All snack foods and refrigerated foods/beverages were checked and not expired.

Children’s and Staff files were reviewed and all files were complete and in good order.

All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; menus; daily activity schedules.

This facility provides does not provide IMS services. 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

Site Director 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 Childcare 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.

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SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: HARVEST CHRISTIAN PRESCHOOL/DAYCARE
FACILITY NUMBER: 013416767
VISIT DATE: 09/05/2024
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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 were no deficiencies cited today. This report will remain on file for 3 years.



A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided.

Exit interview conducted and report was reviewed with the Site Director Juana Perez.

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SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
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