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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376701326
Report Date: 06/25/2021
Date Signed: 06/29/2021 09:21:07 AM

Document Has Been Signed on 06/29/2021 09:21 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:BEREAN BIBLE BAPTIST ACADEMYFACILITY NUMBER:
376701326
ADMINISTRATOR:MARIA CARLA G. BARRERAFACILITY TYPE:
850
ADDRESS:345 FIFTH AVENUETELEPHONE:
(619) 737-5902
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY: 28TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
06/25/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Maria BarreraTIME COMPLETED:
02:00 PM
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On 6/21/21 at 11:15 a.m., Licensing Program Analyst Adrian Castellon met with Director Maria Barrera for the purpose of conducting an unannounced annual inspection. Licensee Barrera was not present at the time of LPA Castellon arrival. She arrived 15 minutes after LPA Castellon's arrival. There were 4 children with one cleared staff member present in the church nursery. The nursery and entire building has been fire cleared. Rooms 101, 012, and 103 are approved for daycare purposes. The classrooms are currently being renovated and are not ready for child care purposes. The renovation will be completed by July 10 2021. Program operates Monday thru Friday from 8:00 a.m. to 5:00 p.m.

LPA toured the facility. The furniture, books, games and toys are safe, age-appropriate and in good repair. Rooms were a comfortable temperature during this visit. No hazards were noted. All storage containers and trashes have tight fitting lids and are in good repair. There is a kitchen which is clean and sanitary with all food stored properly, per regulation. Menus are posted. Hand washing and toileting areas are in a safe, sanitary and in operating condition. Medications are kept in a safe place, inaccessible to children. Poisons, disinfectants, cleaning solutions and other items that are dangerous to children have been made inaccessible. There is no evidence of rodent or insect activity. Outdoor play area is fully fenced with sufficient cushioning. Playground equipment and outdoor surfaces are in a safe condition No hazards were noted. There are no bodies of water, firearms or ammunition on the property. The carbon monoxide detector is operational. LPA reviewed, sign in/out sheets, a sample of personnel records for a health screening and on-the-job training. A sample of children's records for emergency information and a medical assessment. Children are evaluated upon entry and monitored throughout the day for signs of illness. The isolation area for ill children awaiting pick up is the Director's office. There are several staff present with current CPR and First Aid certification. SB 792 (staff immunizations) and AB 1207 (Mandated Reporter Training) requirements have been met. Facility is reminded the Mandated Reporter Training is to be retaken every two years and can be accessed at the following website: www.mandatedreporterca.com.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE: DATE: 06/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: BEREAN BIBLE BAPTIST ACADEMY
FACILITY NUMBER: 376701326
VISIT DATE: 06/25/2021
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This facility does not provide 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. Services are in place.

Licensee is signed up for Quarterly Updates and Provider Information Notices (PINs)

Type B deficiency cited on this date. Facility is using an unauthorized space for child care purposes.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Adrian Castellon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021
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Document Has Been Signed on 06/29/2021 09:21 AM - It Cannot Be Edited


Created By: Adrian Castellon On 06/25/2021 at 01:52 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: BEREAN BIBLE BAPTIST ACADEMY
FACILITY NUMBER: 376701326

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/25/2021
Section Cited
CCR
101237(a)

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101237 Alterations to Existing Buildings or New Facilities
(a) Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).

This requirement was not met as evidenced by:
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Director Barrera states that the nuresery will not be used for daycare purposes. Director Barrera states that she will call and advise the licensing office prior to construction or alterations.
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the church nursery is being used for daycare purposes without the required authorization from the licensing office. This is a potential threat to children in care.
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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:Cynthia Gray
LICENSING EVALUATOR NAME:Adrian Castellon
LICENSING EVALUATOR SIGNATURE:
DATE: 06/25/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/25/2021


LIC809 (FAS) - (06/04)
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