ST. HELEN'S JUNIOR KINDERGARTEN PRESCHOOL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 04/19/2024, Licensing Program Manager (LPM) Cynthia Brannon and Licensing Program Analyst (LPA) Aurelio Mendoza arrived at the facility to conduct an unannounced case management visit. LPM Brannon and LPA Mendoza met with Staff #1. A tour of the facility inside and outside was conducted and census was taken. The nature of today’s visit was to follow up and obtain a complete Director Change Packet for the new administrator, Principal Patrick Dodd. During today’s visit directions were provided and items outlined that need to be accounted for the Director Change Packet to be accepted and processed by Department of Social Services. Before conducting this inspection, LPM reviewed files for this facility and another facility that the principal oversees and neither file contained the required documentation. Additionally, during today’s inspection and walkthrough with Staff #1, LPA reviewed items on the children’s play yard that as a preventive measure will benefit from upkeep to ensure children’s safety while they are using the play area. LPA reviewed with staff the requirement to ensure debris is removed from play yard before children are outside, broken toys are to be removed, and tree roots that interfere with children’s play area are also to be removed. Direction was provided to staff to submit written documentation when the black plastic barrier that encircles the cushioned area is replaced/repaired to reduce tears/cracks that may become an endangerment to children in care, climbing structure shall also need to have a sticker stating the appropriate ages of children that can utilize the play structure, and the cushioning requirement for adequate padding under all of the fall zones to assist in preventing children from sustaining serious injuries from falls. Furthermore during today's visit it was reviewed that a children's restroom sink faucet was taped and routine service can ensure children have access to wash stations; it is noted that the facility still has plenty of access to working sinks and toilets to comply with Child Care Licensing capacity requirements. Continued on 809-C SUPERVISORS NAME: Cynthia Brannon LICENSING EVALUATOR NAME: Aurelio Mendoza LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2024 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 3 FACILITY NAME: ST. HELEN'S JUNIOR KINDERGARTEN PRESCHOOL FACILITY NUMBER: 103801249 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/19/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 04/19/2024 Section Cited CCR 101170(e)(1) 1 2 3 4 5 6 7CRIMINAL RECORD CLEARANCE: Section 101170(e)(1) and H&S 1596.871- Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. 1 2 3 4 5 6 7Site Supervisor Anna Banuelos directed staff #2 to go complete Live Scan process with LIC 9163 that was provided by LPM Brannon and LPA Mendoza today 04/19/2024. Staff #2 was directed to follow up with facility and DSS and submit proof that Live Scan was completed today 04/19/2024. 8 9 10 11 12 13 14A review of staff records indicated that staff #2 did not utilize DSS's Live Scan Form to be properly cleared to work onsite. This poses a potential risk to children. 8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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 Brannon LICENSING EVALUATOR NAME:Aurelio Mendoza LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2024 FACILITY NAME: ST. HELEN'S JUNIOR KINDERGARTEN PRESCHOOLFACILITY NUMBER: 103801249 VISIT DATE: 04/19/2024 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 26 27 28 29 30 31 32Also, during today’s visit at approximately 9:30 am Staff #2 arrived to work and LPM Brannon and LPA Mendoza attempted to verify that Staff #2 was cleared for background however employee record review yielded that Staff #2 was provided an incorrect Live Scan Form prior to starting employment. CRIMINAL RECORD CLEARANCE: Section 101170(e)(1) & H&S 1596.871-Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. Ap

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 04/19/2024, Licensing Program Manager (LPM) Cynthia Brannon and Licensing Program Analyst (LPA) Aurelio Mendoza arrived at the facility to conduct an unannounced case management visit. LPM Brannon and LPA Mendoza met with Staff #1. A tour of the facility inside and outside was conducted and census was taken. The nature of today’s visit was to follow up and obtain a complete Director Change Packet for the new administrator, Principal Patrick Dodd. During today’s visit directions were provided and items outlined that need to be accounted for the Director Change Packet to be accepted and processed by Department of Social Services. Before conducting this inspection, LPM reviewed files for this facility and another facility that the principal oversees and neither file contained the required documentation. Additionally, during today’s inspection and walkthrough with Staff #1, LPA reviewed items on the children’s play yard that as a preventive measure will benefit from upkeep to ensure children’s safety while they are using the play area. LPA reviewed with staff the requirement to ensure debris is removed from play yard before children are outside, broken toys are to be removed, and tree roots that interfere with children’s play area are also to be removed. Direction was provided to staff to submit written documentation when the black plastic barrier that encircles the cushioned area is replaced/repaired to reduce tears/cracks that may become an endangerment to children in care, climbing structure shall also need to have a sticker stating the appropriate ages of children that can utilize the play structure, and the cushioning requirement for adequate padding under all of the fall zones to assist in preventing children from sustaining serious injuries from falls. Furthermore during today's visit it was reviewed that a children's restroom sink faucet was taped and routine service can ensure children have access to wash stations; it is noted that the facility still has plenty of access to working sinks and toilets to comply with Child Care Licensing capacity requirements. Continued on 809-C SUPERVISORS NAME: Cynthia Brannon LICENSING EVALUATOR NAME: Aurelio Mendoza LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2024 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2024 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 3 FACILITY NAME: ST. HELEN'S JUNIOR KINDERGARTEN PRESCHOOL FACILITY NUMBER: 103801249 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 04/19/2024 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 04/19/2024 Section Cited CCR 101170(e)(1) 1 2 3 4 5 6 7CRIMINAL RECORD CLEARANCE: Section 101170(e)(1) and H&S 1596.871- Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. 1 2 3 4 5 6 7Site Supervisor Anna Banuelos directed staff #2 to go complete Live Scan process with LIC 9163 that was provided by LPM Brannon and LPA Mendoza today 04/19/2024. Staff #2 was directed to follow up with facility and DSS and submit proof that Live Scan was completed today 04/19/2024. 8 9 10 11 12 13 14A review of staff records indicated that staff #2 did not utilize DSS's Live Scan Form to be properly cleared to work onsite. This poses a potential risk to children. 8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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 Brannon LICENSING EVALUATOR NAME:Aurelio Mendoza LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2024 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2024 FACILITY NAME: ST. HELEN'S JUNIOR KINDERGARTEN PRESCHOOLFACILITY NUMBER: 103801249 VISIT DATE: 04/19/2024 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 26 27 28 29 30 31 32Also, during today’s visit at approximately 9:30 am Staff #2 arrived to work and LPM Brannon and LPA Mendoza attempted to verify that Staff #2 was cleared for background however employee record review yielded that Staff #2 was provided an incorrect Live Scan Form prior to starting employment. CRIMINAL RECORD CLEARANCE: Section 101170(e)(1) & H&S 1596.871-Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption. Ap

Type B citation - potential risk if not corrected