561702359-9-21-2023-17-CC-EBAY-CVVVCZ-20230921161958

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 561702359
Report Date: 09/21/2023
Date Signed: 09/21/2023 04:20:08 PM

Document Has Been Signed on 09/21/2023 04:20 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	CHRIST THE KING LUTHERAN PRESCHOOL		FACILITY NUMBER:	561702359
ADMINISTRATOR:	SARAH BRITTON		FACILITY TYPE:	850
ADDRESS:	3947 WEST KIMBER DRIVE		TELEPHONE:	(805) 499-7022
CITY:	NEWBURY PARK	STATE: CA	ZIP CODE:	91320
CAPACITY: 56	TOTAL ENROLLED CHILDREN: 56	CENSUS: 9	DATE:	09/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Sarah Britton		TIME COMPLETED:	04:30 PM

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On 9/21/23, Licensing Program Analysts (LPAs) Elvin Baddley and German Negrete conducted an unannounced Required Inspection the abovementioned Child Care Center (CCC). LPAs met with Sarah Britton, Director of the CCC and explained the purpose of the inspection. The LPAs, in the company of Director, toured the interior and exterior of the CCC. The center operates from 7:30 AM to 5:30 PM, Monday - Friday. The preschool uses three classrooms (Blue Bird Room- 2 years of age, Butterflies Room- 3 years of age and Owl Room-Transitional Kindergarten) for child care. LPA observed 9 children on site during the inspection along with 3 teachers (cleared and associated) providing care and supervision.

The classrooms of the CCC were clean and organized. The classrooms had age appropriate toys and furnishings available for children. The CCC has an operable carbon monoxide detector which was tested at 2:10 PM. The bathroom used by children in care are in safe and sanitary operating condition. LPAs observed an operable refrigerator in the CCC's kitchen which is inaccessible to children. The CCC provides morning and mid day snacks for children in care while lunches are provided by parents. LPAs reviewed posted menu along with licensing required notices and documents posted predominately on the walls in the CCC.There is available drinking water for children both inside the classroom and outside in the play area. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPAs verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Disinfectants, cleaning solutions, sharps and medications are secured in elevated locations in each classroom and inaccessible to children.

The CCC has multiple playground areas. Each playground is enclosed and the footing in the areas are varied. The fences' entry/exit gates are secured. LPA observed age appropriate toys and play equipment in

(CONT. 809-C , Page 2)

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023

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
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: CHRIST THE KING LUTHERAN PRESCHOOL	FACILITY NUMBER: 561702359
	VISIT DATE: 09/21/2023

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the play areas. The toys and play equipment are in suitable condition and free of sharp, loose or pointed objects. The play structures in the playground areas have adequate cushioning materials to absorb falls and an abundance of shade created by trees and building overhangs. No bodies of water were observed on site. Waste receptacles with tight fitting covers were observed throughout the center. Additionally, LPAs reviewed electronic Sign In/Out and noted the arrival and departure times of the children are along with the information of the authorized representatives.

A sampling of staff and children records were reviewed. The children’s records were complete and found to contain emergency contact information as well as immunization records, among other required licensing documents. Staff records were reviewed and contained pediatric CPR and first aid certifications, Mandated Training certifications among other required licensing documents. Director was remind to ensure training and certification are current and renewed before expiration. LPAs notes the last fire drill at the CCC occurred on 9/15/23. Director informed LPA no firearm or ammunition is stored on the premises.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/ .

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative Sarah Britton.

SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Elvin Baddley
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023

LIC809 (FAS) - (06/04)

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