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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844575
Report Date: 09/07/2021
Date Signed: 09/08/2021 10:45:41 AM

Document Has Been Signed on 09/08/2021 10:45 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:PHASE 3 LAB SCHOOL:REDLANDSFACILITY NUMBER:
364844575
ADMINISTRATOR:STEWART, VANESSAFACILITY TYPE:
850
ADDRESS:1 EAST OLIVE AVENUETELEPHONE:
(714) 588-9104
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY: 36TOTAL ENROLLED CHILDREN: 0CENSUS: 11DATE:
09/07/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:38 PM
MET WITH:Vanessa StewartTIME COMPLETED:
07:45 PM
NARRATIVE
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Licensee has requested for room change. Licensing Program Analyst (LPA) Kim Leung conducted an inspection at the facility this date on 9/7/2021. A tour of the inside and outside of the facility was granted and the following was observed and/or noted:

A review of a sampling of the staff records and children's records were conducted as part of this evaluation.
· The licensee is asked to update the following documents, if applicable, and submit to licensing within 30 days:
1. LIC 500 Personnel Report
2. LIC 610 Emergency & Disaster Plan (only if changes have been made)
3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule (only if changes have been made)
4. LIC 309 Administrative Organization
· The following items have been posted and are updated where necessary:
v License
v Emergency Disaster Plan (LIC610)
v Parent’s Rights Poster (PUB393)
v Personal Rights (LIC613A),
v Child Car Seat Law
v Menu
· The facility has move the children to the new preschool rooms prior to obtaining approval from Licensing. Director states that a new fire clearance has been granted on those rooms. However, Community Care Licensing has not received the fire clearance yet.
· Classrooms are adequately equipped with age and size appropriate furniture and equipment and free of hazards.
· There are no weapons present at the facility as stated by director Vanessa Stewart
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2021
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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Document Has Been Signed on 09/08/2021 10:45 AM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Kim Leung On 09/07/2021 at 06:50 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: PHASE 3 LAB SCHOOL:REDLANDS
FACILITY NUMBER: 364844575

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
09/07/2021
Section Cited
CCR
101170(e)

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Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met
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That presented immediate risks to the safety of children in care. Immediate CIVIL PENALTY of $100 per day for 5 days will be assessed. Director agreed to wait until the required criminal record clearances have been obtained prior to having Staff 1 returned to the facility having contact with children.
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as evidenced by: Staff 1 who has been working at the facility since 8/17/2021 has not obtained the required criminal record clearances. LPA observed Staff 1 supervising children during inspection. Director Vanessa Stewart stated that Staff 1 is in the process of obtaining clearances.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Aaron Ross
LICENSING EVALUATOR NAME:Kim Leung
LICENSING EVALUATOR SIGNATURE:
DATE: 09/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/07/2021


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: PHASE 3 LAB SCHOOL:REDLANDS
FACILITY NUMBER: 364844575
VISIT DATE: 09/07/2021
NARRATIVE
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· There are no accessible bodies of water present at this time. All wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Drinking water indoor and outdoor is supplied by use of water bottles. The water bottles are refilled by staff throughout the day as stated by director. Director states that she has no knowledge if the church building has a baptismal pool inside. However, director states that the church building is locked and remains locked during the hours of operation of the facility.
· Medications are stored in individual classrooms where inaccessible to children,
· Regulatory requirements regarding storage of hazards including cleaning solutions and adult scissors were reviewed with director during this inspection.
· All floors are clean and safe
· Bathrooms were observed to be safe, sanitary and in operating condition
· Playgrounds are enclosed by appropriate fences and free of hazards
· Outdoor activity areas are supplied with age and size appropriate equipment in good condition
· No cooking at the facility. Food preparation area is clean, free of litter, rubbish and free of rodents and other vermin
· Menu is 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 available upon request.
· The areas around or under high climbing equipment, swings, slides, and similar equipment is cushioned with material (woodchip) that absorb falls
· A Staff member is present with current Pediatric CPR/First Aid which expires on 8/11/2022 (director Vanessa Stewart)
· Opening and closing staff member’s CPR/First Aid expires on 8/11/2022 (director)
· Director completed Health and Safety Training- on 10/9/2016
· The Licensee was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
· Documentation of disaster drills was reviewed. Last drill- 6/1/2021
· A review of staff records on 9/7/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions except for Staff 1.
The Licensee can submit transfer forms to associate new individuals or to disassociate someone from your facility at: Associations_Disassociations862@dss.ca.gov
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021
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: PHASE 3 LAB SCHOOL:REDLANDS
FACILITY NUMBER: 364844575
VISIT DATE: 09/07/2021
NARRATIVE
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· The licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must be posted for 30 days.
· This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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.
· For more information on SIDS and Safe Sleep Environments, please visit:
California Department of Public Health – California SIDS Program: http://www.cdph.ca.gov/programs/SIDS/pages/default.aspx
AAP – Safe Sleep Campaign: http://www.healthychildcare.org/sids/html
AAP-Free Training: Reducing the Risk of SIDS in Early Education and Child Care: http://shop.aap.org/Reducing-the-Risk-of-SIDS-in-Early-Education-and-Child-Care
And Caring for our Children, Safe Sleep Practices and SIDS/Suffocation Risk Reduction: http://cfoc/nrckids/org/standardview/spccol/safe_sleep

See LIC 809D for deficiencies cited.

Child care updates were provided to the facility on Facility Evaluation Report dated 9/7/2021 for the school-age p[rogram, facility #364844576.

Appeal rights were discussed and a copy of this report was provided to the licensee on this date.

If a Civil Penalty has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

The new rooms, #210, 211 and 212 are located on the 2nd floor. Rooms 103A and 103C which are located downstairs will be for the toddler classes. Measurements were taken during this inspection.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021
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: PHASE 3 LAB SCHOOL:REDLANDS
FACILITY NUMBER: 364844575
VISIT DATE: 09/07/2021
NARRATIVE
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LPA has determined that the facility Rooms 103A, 103C, 209, 210, 211 and 212 could accommodate the requested capacity of 58 children which includes a toddler option of a maximum 18 toddlers in 2 different classes.

Bathroom Fixtures:
5 sinks x 15 = 75 preschool children
3 toilets x 15 = 45 children (There are 2 restrooms upstairs across from each other for preschool children)
2 sinks x 15 = 30 toddlers
2 toilets x 15 = 30 toddlers

Licensee continues using the existing playgrounds for outdoor activities. The playgrounds could accommodate no more than 23 children at the same time. Licensee will submit written request for a waiver on the outdoor activity space to allow scheduled use of the playgrounds.

An exit interview was conducted and during the interview, the director confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. Prior to approval of room change and capacity increase, a new fire clearance is required. In addition, all required corrections must be completed with proof submitted to the Department prior to approval of capacity increase.

During inspection, director Vanessa Stewart agreed to continue the inspection after 6:30pm.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS ALONG WITH A COPY OF ALL TYPE A DEFICIENCIES (LIC809D/9099D) CITED DURING THIS INSPECTION. A COPY OF ALL TYPE A DEFICIENCIES CITED DURING THIS INSPECTION MUST ALSO BE IMMEDIATELY (within 24 hours of the child’s next day in care) GIVEN TO THE PARENTS OF ALL CHILDREN ENROLLED IN THE CHILD CARE FACILITY AND ANY CHILDREN ENROLLED INTO THE CHILD CARE FACILITY OVER THE NEXT 12 MONTHS.

This report must be available for review, upon request, for the next 3 years.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Kim Leung
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021
LIC809 (FAS) - (06/04)
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