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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845927
Report Date: 07/26/2023
Date Signed: 07/26/2023 10:35:38 AM

Document Has Been Signed on 07/26/2023 10:35 AM - 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:STONEBRIDGE CHRISTIAN ACADEMYFACILITY NUMBER:
334845927
ADMINISTRATOR:KATHERINE PASLEY-BARROWMANFACILITY TYPE:
840
ADDRESS:4193 BLUFF STREETTELEPHONE:
(951) 520-1000
CITY:NORCOSTATE: CAZIP CODE:
92860
CAPACITY: 17TOTAL ENROLLED CHILDREN: 20CENSUS: 0DATE:
07/26/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Katherine Pasley BarrowmanTIME COMPLETED:
10:40 AM
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
Licensing Program Analyst (LPA), Samuel Lopez arrived at the facility to conduct a Case Management inspection due to the request submitted for an increase/a decrease in capacity. The facility is requesting to decrease the School Age Program capacity from 17 to 36. A Fire Clearance was granted on 7/20/2023.

The days and hours of operation will remain the same: Monday through Friday; 6:30am to 6:30pm.

LPA Lopez toured the facility and measured the rooms that will be utilized by the School Age Program, when Preschool children are not. (Waiver on file for shared classrooms)

Based on the measurements taken, the following was determined:
School-Age Indoor Activity Areas
LPA has determined that there is sufficient space to accommodate the requested capacity of 36 children.

School-age Bathroom Fixtures
4 toilets x 15 = 60 children
7 sinks x 15 = 105 children

School-Age Outdoor Activity Area:
LPA has determined that there is sufficient space to accommodate the requested capacity of 36 children.
(Waiver on file for shared playground with Preschool on alternate schedule)

Limiting factor for school-age capacity is the Fire Clearance granted.
School-age capacity is limited to 36 children.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/26/2023
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 2
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: STONEBRIDGE CHRISTIAN ACADEMY
FACILITY NUMBER: 334845927
VISIT DATE: 07/26/2023
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
The following was observed:
· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Water fountains supply drinking water in the indoor activity space. Children also bring personal water bottles filled with water from home
· Playgrounds are enclosed by appropriate fences
· Outdoor activity areas are supplied with age and size appropriate equipment
· There is a splash pad located in the playground. Water does not accumulate and drains as it hits the pad
· An adequate amount of cushioning material (foam padding/turf/rubber matting) is in place under play equipment
· Adequate shade is provided
· Toxins are locked and inaccessible
· Sign in/Sign out record was reviewed and meets regulation requirements
· A review of staff records on 7/26/2023 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 Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:
1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200

No cited deficiencies during today's inspection.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.



The following items need to be completed/corrected prior to approval of the increase/decrease in capacity:

1. Waiver pending for additional classroom (Blue) use

Exit interview conducted and report was reviewed with the Licensee Katherine Pasley Barrowman
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2