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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191501775
Report Date: 10/11/2024
Date Signed: 10/11/2024 12:08:42 PM

Document Has Been Signed on 10/11/2024 12:08 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CLAREMONT UNITED CHURCH OF CHRIST ECCFACILITY NUMBER:
191501775
ADMINISTRATOR/
DIRECTOR:		KNIGHT, KRISTYFACILITY TYPE:
850
ADDRESS:233 W HARRISON AVETELEPHONE:
(909) 624-2916
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 45DATE:
10/11/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Kristy KnightTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 10/11/2024 at 11:00 am Licensing Program Analyst (LPA), Carolyn Tuba conducted an unannounced Proof of Correction (POC) inspection to ensure the deficiencies cited on 10/11/2024 during a Case Management Visit had been corrected. A COVID risk assessment was conducted. LPA met with Director, Kristy Knight. LPA took a census of 45 children with 8 staff members and confirmed clearance.

During the visit LPA took a photo of the drinking fountain water fixture "I" on the playground that had a lead exceedance of 11.00 parts per billion but was capped off on 3/31/2023 and is no longer in use. According to the Director, children bring water from home and a Brita Water Pitcher which is filled with bottled water is available for refills and is brought to the playground for the children to have drinking water available.

LPA cleared the deficiency on this date and issued Proof of Correction (POC) clearance letter during the visit.

At this time, the facility is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

A notice of site visit was given to Licensee and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Kristy Knight.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
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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