376701250-5-24-2021-20-CC-MMAE-C3BT53-20210524142454

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701250
Report Date: 05/24/2021
Date Signed: 05/24/2021 02:24:58 PM

Document Has Been Signed on 05/24/2021 02:24 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	FAITH CHAPEL LEARNING ACADEMY		FACILITY NUMBER:	376701250
ADMINISTRATOR:	STEPHANIE SMITH		FACILITY TYPE:	850
ADDRESS:	9400 CAMPO ROAD		TELEPHONE:	(619) 567-7557
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY: 100	TOTAL ENROLLED CHILDREN: 0	CENSUS: 24	DATE:	05/24/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Stephanie Smith		TIME COMPLETED:	02:30 PM

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	On 5/24/2021 at 8:30am, Licensing Program Analyst (LPA), Martha Malane conducted a case management inspection for the purpose of a capacity decrease. LPA met with Director, Stephanie Smith and was led on a tour of the facility. There were 23 children and four (4) staff present during the inspection. The facility previously operated in Rooms 102, 103, 104, 105, 106 and 107, however requested to decrease capacity from 100 to 90 and remove room 103. Room 103 will be utilized by the Infant Program. A fire clearance for 93 preschool children was granted 5/19/2021. · Room 102 measured at 673.13 square feet · Room 104 measured at 583.22 square feet · Room 105 measured at 856.51 square feet · Room 106 measured at 620.65 square feet · Room 107 measured at 634.32 square feet The total indoor square footage measured 3,367.83 square feet, which is sufficient to accommodate 96 preschool children, however applicant is only requesting a capacity for 90 children. There are 11 sinks and six (6) toilets available for use which is sufficient to accommodate the requested capacity of 90 children. Classrooms are equipped with age-appropriate furniture and equipment, including tables, chairs, cubbies, bookshelves, mats for napping and other activity supplies for children. Drinking water is available in the classrooms via water jugs and refillable cups brought from home. The outdoor activity space measured 5,980 square feet, which is sufficient to accommodate 79 children. There is an outdoor activity space waiver on file which allows the facility to share the playground on a scheduled basis. Drinking water is available outside via moveable water jugs and refillable cups from home.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: FAITH CHAPEL LEARNING ACADEMY	FACILITY NUMBER: 376701250
	VISIT DATE: 05/24/2021

NARRATIVE

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A first aid kit with required supplies is located in the office. Medications are stored in the office. An isolation area is located in the office and an isolation restroom is located across the hallway. A separate staff restroom is located near classroom 106. There is a carbon monoxide detector, which is operational at this time. Facility provides a morning and afternoon snack. The kitchen is located in the office and currently consists of a refrigerator and food supply. Disinfectants and cleaning solutions are kept in an inaccessible cabinet in the office. Manual sign-in/out sheets are located in each classroom where check in occurs.

This facility provides Incidental Medical Services — IMS. LPA reviewed storage of medication and equipment/supplies. 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 (IJSDOJ) 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://vvww.ada.gov/childqanda.htm. Megan’s law was discussed and LPA provided meganslaw.ca.gov.

No deficiencies cited.

Capacity decrease from 100 to 90 children (age 2 through 5 years) in rooms 102, 104, 105, 106 and 107 will be processed effective today.

An exit interview was conducted with the director and LPA provided: LIC809, LIC809C, LIC9102AN and LIC9213-Notice of Site Visit. LPA observed the director post Notice of Site Visit during inspection and informed director the Notice of Site Visit must remain posted for 30 days from today's date.

SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: Martha Malane
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021

LIC809 (FAS) - (06/04)

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