CALVARY CHRISTIAN SCHOOL-AGE CARE

Type A citation - immediate risk to health, safety, or personal rights

Type A citation - immediate risk to health, safety, or personal rights

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 8/10/22, Licensing Program Analysts (LPAs) Amanda Sutter and Karyn Guerra arrived at the facility to investigate a complaint. At 12:11 AM, LPAs observed 2 children (C1, C2) unsupervised on the the gated blacktop area around the corner from the playground area. LPAs observed a teacher (T1) supervising 13 children. Lead Teacher Hope Camarena called another teacher (T2) to come supervise the children. C1 was observed in blacktop area unsupervised again and told to return to the playground area. At 12:49 PM, LPAs observed 2 children in bathroom washing hands unsupervised. A notice of site visit was given and must remain posted for 30 days. Based on the inspection, two type A citations have been issued. Exit interview conducted and report was reviewed with facility representative Hope Camarena. SUPERVISORS NAME: Seychelle De Luca LICENSING EVALUATOR NAME: Amanda Sutter LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022 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 2 FACILITY NAME: CALVARY CHRISTIAN SCHOOL-AGE CARE FACILITY NUMBER: 343616737 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/10/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 08/11/2022 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...(1). Supervision shall include visual observation.1 2 3 4 5 6 7Director stated she will have an all staff meeting with staff about 100% supervison of children and escorting children to the restrooms. She will send CCL a copy of the all staff meeting agenda and sign in sheet. 8 9 10 11 12 13 14This requirement is not met as evidenced by: LPAs observed 2 children unsupervised on blacktop area near playground.8 9 10 11 12 13 14 Type A 08/10/2022 Section Cited CCR101516.5(b)(1) 1 2 3 4 5 6 7(1) A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. This requirement is not met as evidenced by:1 2 3 4 5 6 7LPA will return to observe proper ratio. 8 9 10 11 12 13 14Teacher was observed supervising 15 school age children alone.8 9 10 11 12 13 14 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:Seychelle De Luca LICENSING EVALUATOR NAME:Amanda Sutter LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022

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 8/10/22, Licensing Program Analysts (LPAs) Amanda Sutter and Karyn Guerra arrived at the facility to investigate a complaint. At 12:11 AM, LPAs observed 2 children (C1, C2) unsupervised on the the gated blacktop area around the corner from the playground area. LPAs observed a teacher (T1) supervising 13 children. Lead Teacher Hope Camarena called another teacher (T2) to come supervise the children. C1 was observed in blacktop area unsupervised again and told to return to the playground area. At 12:49 PM, LPAs observed 2 children in bathroom washing hands unsupervised. A notice of site visit was given and must remain posted for 30 days. Based on the inspection, two type A citations have been issued. Exit interview conducted and report was reviewed with facility representative Hope Camarena. SUPERVISORS NAME: Seychelle De Luca LICENSING EVALUATOR NAME: Amanda Sutter LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022 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 2 FACILITY NAME: CALVARY CHRISTIAN SCHOOL-AGE CARE FACILITY NUMBER: 343616737 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/10/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 08/11/2022 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...(1). Supervision shall include visual observation.1 2 3 4 5 6 7Director stated she will have an all staff meeting with staff about 100% supervison of children and escorting children to the restrooms. She will send CCL a copy of the all staff meeting agenda and sign in sheet. 8 9 10 11 12 13 14This requirement is not met as evidenced by: LPAs observed 2 children unsupervised on blacktop area near playground.8 9 10 11 12 13 14 Type A 08/10/2022 Section Cited CCR101516.5(b)(1) 1 2 3 4 5 6 7(1) A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. This requirement is not met as evidenced by:1 2 3 4 5 6 7LPA will return to observe proper ratio. 8 9 10 11 12 13 14Teacher was observed supervising 15 school age children alone.8 9 10 11 12 13 14 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:Seychelle De Luca LICENSING EVALUATOR NAME:Amanda Sutter LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022

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 8/10/22, Licensing Program Analysts (LPAs) Amanda Sutter and Karyn Guerra arrived at the facility to investigate a complaint. At 12:11 AM, LPAs observed 2 children (C1, C2) unsupervised on the the gated blacktop area around the corner from the playground area. LPAs observed a teacher (T1) supervising 13 children. Lead Teacher Hope Camarena called another teacher (T2) to come supervise the children. C1 was observed in blacktop area unsupervised again and told to return to the playground area. At 12:49 PM, LPAs observed 2 children in bathroom washing hands unsupervised. A notice of site visit was given and must remain posted for 30 days. Based on the inspection, two type A citations have been issued. Exit interview conducted and report was reviewed with facility representative Hope Camarena. SUPERVISORS NAME: Seychelle De Luca LICENSING EVALUATOR NAME: Amanda Sutter LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022 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 2 FACILITY NAME: CALVARY CHRISTIAN SCHOOL-AGE CARE FACILITY NUMBER: 343616737 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/10/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 08/11/2022 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...(1). Supervision shall include visual observation.1 2 3 4 5 6 7Director stated she will have an all staff meeting with staff about 100% supervison of children and escorting children to the restrooms. She will send CCL a copy of the all staff meeting agenda and sign in sheet. 8 9 10 11 12 13 14This requirement is not met as evidenced by: LPAs observed 2 children unsupervised on blacktop area near playground.8 9 10 11 12 13 14 Type A 08/10/2022 Section Cited CCR101516.5(b)(1) 1 2 3 4 5 6 7(1) A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. This requirement is not met as evidenced by:1 2 3 4 5 6 7LPA will return to observe proper ratio. 8 9 10 11 12 13 14Teacher was observed supervising 15 school age children alone.8 9 10 11 12 13 14 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:Seychelle De Luca LICENSING EVALUATOR NAME:Amanda Sutter LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022

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 8/10/22, Licensing Program Analysts (LPAs) Amanda Sutter and Karyn Guerra arrived at the facility to investigate a complaint. At 12:11 AM, LPAs observed 2 children (C1, C2) unsupervised on the the gated blacktop area around the corner from the playground area. LPAs observed a teacher (T1) supervising 13 children. Lead Teacher Hope Camarena called another teacher (T2) to come supervise the children. C1 was observed in blacktop area unsupervised again and told to return to the playground area. At 12:49 PM, LPAs observed 2 children in bathroom washing hands unsupervised. A notice of site visit was given and must remain posted for 30 days. Based on the inspection, two type A citations have been issued. Exit interview conducted and report was reviewed with facility representative Hope Camarena. SUPERVISORS NAME: Seychelle De Luca LICENSING EVALUATOR NAME: Amanda Sutter LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022 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 2 FACILITY NAME: CALVARY CHRISTIAN SCHOOL-AGE CARE FACILITY NUMBER: 343616737 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 08/10/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 08/11/2022 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...(1). Supervision shall include visual observation.1 2 3 4 5 6 7Director stated she will have an all staff meeting with staff about 100% supervison of children and escorting children to the restrooms. She will send CCL a copy of the all staff meeting agenda and sign in sheet. 8 9 10 11 12 13 14This requirement is not met as evidenced by: LPAs observed 2 children unsupervised on blacktop area near playground.8 9 10 11 12 13 14 Type A 08/10/2022 Section Cited CCR101516.5(b)(1) 1 2 3 4 5 6 7(1) A teacher shall supervise no more than 14 children or with an aide a maximum of 28 children. This requirement is not met as evidenced by:1 2 3 4 5 6 7LPA will return to observe proper ratio. 8 9 10 11 12 13 14Teacher was observed supervising 15 school age children alone.8 9 10 11 12 13 14 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:Seychelle De Luca LICENSING EVALUATOR NAME:Amanda Sutter LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2022