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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334805816
Report Date: 12/17/2024
Date Signed: 12/17/2024 04:13:33 PM

Document Has Been Signed on 12/17/2024 04:13 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:LIFE CHRISTIAN ACADEMYFACILITY NUMBER:
334805816
ADMINISTRATOR/
DIRECTOR:		KIMBERLY FREDERIQUEFACILITY TYPE:
850
ADDRESS:3270 RUBIDOUX BLVD.TELEPHONE:
(951) 684-3639
CITY:RIVERSIDESTATE: CAZIP CODE:
92509
CAPACITY: 60TOTAL ENROLLED CHILDREN: 13CENSUS: 10DATE:
12/17/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Lavette Gibson, Advisor and Sheila Cotton, Administrative AssistantTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 12/17/2024 at 1:10 PM Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct an annual inspection. LPA was greeted and granted entry by Lead Teacher Maria Baratutes. LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following: The Licensee Owner LaVette Gibson and Administrative Assistant Sheila Cotton, joined the inspection. The licensee is in the process of hiring a new director and the Lead Teacher Maria Baratutes is acting director. The licensee agrees to notify the department when a new director is hired.

Normal days and hours of operation are: Monday- Friday, 6:00 AM to 6:00 PM

The inspection consisted of reviews of the following domains: Food Service; Reporting Requirements
Physical Plant; Care and Supervision; Children Records; Staff Records; Staffing Ratio and Capacity and
Personal Rights. The inspection found the facility to be in compliance in these domains.

The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days:

1. LIC 500 Personnel Report – Update Requested
2. LIC 610 Emergency & Disaster Plan – Update Requested
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization
5. LIC 308 Designation of Administrative Responsibility - Update Requested for all that apply.
6. LIC200A – Update requested.
7. Director’s Packet for new hire.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: LIFE CHRISTIAN ACADEMY
FACILITY NUMBER: 334805816
VISIT DATE: 12/17/2024
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The following items have been posted and are updated where necessary:
License, Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148)
Parent’s Rights Poster (PUB393), Personal Rights (LIC613A); Child Car Seat Law, Menu
· The facility is operating within the terms of the license.
· Ratios were met and appropriate supervision was provided during this inspection. The LPA took a census of 10 children supervised by 3 staff.
· Classrooms are clean, free of hazards and equipped with age-appropriate furniture however the sink equipment in the red room is not properly mounted and loose, however is working with running water.
· No weapons stored at the facility.
· There are no accessible bodies of water present on today’s date. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Medications are stored where inaccessible to children in the front office.
· Hazards are stored where inaccessible to children which include: Disinfectants, cleaners and other items that are dangerous. Poisons and toxins are locked on today’s date.
· All floors are clean and safe.
· Bathrooms were observed to be safe, sanitary and in operating condition.
· Outdoor activity areas/playgrounds are enclosed by appropriate fences, free of hazards and are supplied with age and size appropriate equipment in good condition.
· Food preparation area is clean, free of litter, rubbish and free of rodents and other vermin.
· Measures are taken to keep the facility free of flies, other insects and rodents.
· Food is stored appropriately and protected from contamination.
· Storage containers for solid waste, including moveable bins-have tight-fitting covers in good repair.
· Menus are posted at least one week in advance in a place visible by the child’s authorized representative, dated and kept on file for 30 days, and made available upon request. The facility is only providing AM and PM snacks. The clients bring food from home.
· Uncontaminated drinking water shall be readily available both indoors and out and provided by tap water, individual cups and disposable drinking cups.
· The areas around or under high climbing equipment, swings, slides, and similar equipment shall be cushioned with material that absorbs a fall: Facility has wood chips.
· Sign in/Sign out record was reviewed and meets regulation requirements on today’s date.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: LIFE CHRISTIAN ACADEMY
FACILITY NUMBER: 334805816
VISIT DATE: 12/17/2024
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· A Staff member is present with current Pediatric CPR/First Aid which expires on 10/2026
· Opening and closing staff member’s CPR/First Aid expires on 03/2025
· Director completed Health and Safety Training: Missing for substitute staff
· Staff qualifications and files were reviewed and are incomplete. Lead staff were missing Health/Safety/Nutrition/Lead training, the LIC308 designation form and administrative units to act as an interim director.
· Staff have received on the job training for housekeeping, sanitation and universal health precautions
Licensee was informed the Department has inspection authority per Health and Safety Codes.
Licensee provided the Unusual Incident Reporting email: UnusualIncidentReportsDO09@dss.ca.gov
· Children files were reviewed and are complete on today's date.
· Documentation of fire & earthquake drills to be conducted every six months: Last fire and earthquake drill on 07/18/2024. The facility conducted a fire drill during the inspection on 12/17/2024 at 2:28 PM to 3:35 PM with 9 children and 3 staff.
· AB2370 – Lead Exposure, day care facilities, effective January 1, 2019 –
The bill requires that all Child Care Centers, operating in a building constructed before January 1, 2010, shall have their drinking water tested for excessive lead levels, on or after January 1, 2020, but no later than January 1, 2023. Child Care Centers must thereafter test their drinking water every five years after the date of the initial test.
· AB605 – Child day care facilities, birth to school-age license; Effective January 1, 2021
· AB2960 – Child care and development services, online portal – Effective June 20, 2022 - This bill requires the State Superintendent of Public Instruction (SSPI), within the California Department of Education (CDE), to develop and post on CDE's website a comprehensive child care and development services online portal for families and providers by June 30, 2022.

This facility provides Incidental Medical Services – IMS. LPA did not review storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. The children are not requesting IMS services at this time. For IMS information, see PIN 22-02-CCP. A 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, available at: http://www.ada.gov/childqanda.htm
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: LIFE CHRISTIAN ACADEMY
FACILITY NUMBER: 334805816
VISIT DATE: 12/17/2024
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Facility Representative was reminded that all adults 18 and over working to include employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Child Care 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.

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/process.

No citations were issued on today's date.

No civil Penalties were issued on today's date.

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

Exit interview conducted and report was reviewed with the Administrative Assistant Sheila Cotton.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Susan Brewer
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC809 (FAS) - (06/04)
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