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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846446
Report Date: 09/22/2023
Date Signed: 09/22/2023 04:44:55 PM

Document Has Been Signed on 09/22/2023 04:44 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:SOUTHWEST CHRISTIAN ACADEMYFACILITY NUMBER:
334846446
ADMINISTRATOR:STARK,MICHELEFACILITY TYPE:
830
ADDRESS:44-175 WASHINGTON ST.TELEPHONE:
(760) 200-2000
CITY:INDIAN WELLSSTATE: CAZIP CODE:
92210
CAPACITY: 44TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/22/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Michele Stark Applicant and Deborah Benavides DirectorTIME COMPLETED:
05:00 PM
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Licensing Program Analysts (LPAs), Diana Brasel and Ana Noble conducted a pre-licensing inspection this date for a proposed combination facility with Infant with Toddler Option Program and Preschool. The days and hours of operation will be: Days Monday - Friday 8:00 am - 12:00 pm Half Day and Monday - Friday 7:00 am - 6:00 pm Full Day. LPA met with Michele Stark and Deborah Benevides who led a tour of the facility at 10:15 am.

The facility was toured inside and out, and the following was observed:
· Classrooms are adequately equipped with age and size appropriate furniture and equipment
· Water dispenser and disposable, supply drinking water in the indoor activity space
· Playground is enclosed by a 4 feet wrought iron fencing. Technical assistance was discussed regarding the entrance path is not enclosed only the enclosed playgrounds are fenced. The walking path from the facility to the enclosed play grounds is not fenced.
· Outdoor activity area is supplied with age and size appropriate equipment.
· There are no accessible bodies of water present. If wading pools or similar products are used, they must be emptied immediately after use and stored in an upright position.
· An adequate amount of cushioning material (artificial turf) is in place under play equipment.
· Adequate shade is provided by canopies.
· Drinking water is provided in the outdoor play area by igloos with children's water bottles.
· Food preparation area is equipped with refrigerator, sink with hot and cold running water, storage area, utensils, and adequate amount of food supplies. (snacks only)
· The office area is located near the entrance.
· The small office located behind the reception/directors office will serve as the isolation area for ill children temporarily until parents arrive.
· There is a working telephone located in the facility.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE: DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2023
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: SOUTHWEST CHRISTIAN ACADEMY
FACILITY NUMBER: 334846446
VISIT DATE: 09/22/2023
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Medication will be stored at the reception/director area in a labeled locked cabinet which is inaccessible to children.
· Storage area for toxins and poisons is locked in cabinets.
· Medication administration forms were reviewed
· First Aid kit is complete with all required documents.
· Sign in/Sign out record was reviewed and meets regulation requirements
· Parent Board located main lobby located by the reception/director area.
· Carbon Monoxide Detector located in each classroom.

Measurements were taken and the following was determined:

Infant/Toddler Indoor Activity Areas-
LPA has determined that there is sufficient space to accommodate 29 infant children and 12 toddler option children. Infant 0-24 months in Room # 2 & 4 Toddler 18-36 months in the Toddler Room # 6 & 8.

Bathroom Fixtures
4 changing tables x 15 = 60 children
4 sinks x 15 = 60 children

Outdoor Activity Area:
LPA has determined that there is sufficient space to accommodate in infant rooms 2 & 4 a total of 29 children. The toddler rooms 6 & 8 a total of 12 children.

Limiting factor for Infant is the indoor activity space and toddler limiting factor is the requested amount. capacity The Fire Clearance granted on 08/30/2023.
Infant capacity is limited to 29 Infants and 12 Toddlers (18-36 months).

During the inspection, the following was reviewed with Facility Representative/Designee:
· Component II Orientation was completed.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
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: SOUTHWEST CHRISTIAN ACADEMY
FACILITY NUMBER: 334846446
VISIT DATE: 09/22/2023
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·The applicant was informed of their reporting requirements and provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
· The importance of checking for recalled infant (children) devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant (children) devices with the CPSC to be notified of any recalls on their purchased equipment.

· Provider Information Notice (PIN) 22-20-CCP: Resources and Requirements on Lead Testing in Child Care

· LPA reviewed Incidental Medical Services (IMS). For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department if the facility will provide the services. 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


· 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.

Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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 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.

A review of staff records on 9/22/23 indicates that the applicant and/or designated individual who is required to have caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The applicant can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations858@dss.ca.gov
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
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: SOUTHWEST CHRISTIAN ACADEMY
FACILITY NUMBER: 334846446
VISIT DATE: 09/22/2023
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LPA discussed the safe sleep regulations with facility representative/designee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicantof the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA reviewed with Facility representative the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.


The following items need to be completed/corrected prior to a license being issued:
1. The play equipment shall be power washed.
2. There changing mat in room 4 shall be moved closer to the counter top sink and a lip added to
ensure the infant can't fall.
3. Currently crib walls are not the required 4 feet, the applicant has agreed to expand and send
pictures upon completion.


Once all corrections have been made, with proof sent to licensing, the application will be submitted for approval with a maximum capacity of 29 Infant children & 12 Toddler Option.
As agreed upon by facility representative, Michele Stark, all corrections are due within 30 days. If not received within 30 days from the date of this report, the application will be denied.
SUPERVISORS NAME: Monica Cuddy
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: SOUTHWEST CHRISTIAN ACADEMY
FACILITY NUMBER: 334846446
VISIT DATE: 09/22/2023
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If all corrections are approved and facility licensed, you must have the drinking water outlets used for drinking and cooking tested for lead and post the results within 180 days of licensure.
Exit interview conducted and report was reviewed with Facility representative Michele Stark and Deborah Benavides.
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Diana Brasel
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023
LIC809 (FAS) - (06/04)
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