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Inspection visit

Routine inspection

GOOD SHEPHERD LUTHERAN SCHOOLLicense 2101028193 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 5/10/2023, Licensing Program Analyst (LPA) Hanson Leong, made an unannounced annual visit to the child daycare facility listed above. The LPA was granted entry by the Interim Director (ID), Jomana Shahin. The LPA explained the purpose of the visit to the ID. One person out of the individuals listed on the facility's roster does not have permission to work or be present in a childcare facility. The remaining individuals all have permission to do so. The LPA observed seven staff members supervising forty preschool aged children. Children's capacity and ratio requirements were observed to be in compliance. LPA and the ID both performed comprehensive inspections of the facility to look for possible threats to health and safety. The facility offers a first aid kit that is completely loaded with everything that is required for the treatment of wounds and other types of injuries. Toys, furnishings, and learning materials in all classes are age appropriate. The LPA observed that the playground equipment and outdoor furnishings are in very good shape. The LPA found that the facility did not have any pools, spas, or other types of bodies of water of any kind. All poisons, cleaning products, and other potentially harmful substances have been stored in a location that is inaccessible to children. The building is equipped with smoke detectors, carbon monoxide detectors, fire extinguishers that are properly charged, centralized smoke alarms, and phones that are in working order. The ID has stated that the facility does not house any firearms or other types of weapons. The LPA observed that the facility posted the required documents. (i.e., license, waivers, notification of parental rights, notification of personal rights, car seat law, emergency disaster plan, and daily activities) The LPA reviewed the files of five different children. All required forms were in the files of the five children. The LPA reviewed the files of five different staff members. All required forms were in the files of the five staff members. Review of the training records shows that none of the staff members completed their Pediatric First Aid / CPR training from an approved Emergency Medical Services Authority (EMSA ) vendor. ***See Page 2 for continuation*** Continued, Page 2 The LPA reviewed the facility's emergency drill log. According to the facility’s emergency drill log, the facility's emergency drills are carried out monthly. Based on record review and interview, the LEAD water testing was not completed, which is required for all licensed childcare facilities. The Incidental Medical Services (IMS) policy was discussed with the ID. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm The ID was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption or transfer their existing clearance or exemption prior to the initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. The ID was informed about the Mandated Reporter training. In addition to AB1207 training required to complete every two years by all staff hired a one-time General Training is also required. Training can be taken online at www.mandaterreporterca.com . Also, the ID was reminded of Pesticide training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov . For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process . The following Type A violation (immediate health, safety, or personal rights risk to children in care) was cited for today’s visit: *** See Page 3 for continuation*** Continued, Page 3 1. CCR 101170(e)(1) - (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1)Obtain a California clearance or a criminal record exemption as required by the Department or Also, the LPA informed the licensee to provide a copy of this licensing report dated 5/10/2023 that documents any Type A citations to the parents or guardians of all children currently enrolled by the next business day or the next day the children are in care, and to the parents or guardians of any newly enrolled children for a period of 12 months from the date of this report. This information must be provided to the parents or guardians of any children who enroll after the date of this report. The next day that the children are in care is the cutoff for submitting this information before the deadline. The child's file needs to have either a signed Acknowledgement of Receipt of Licensing Report (LIC 9224) or another kind of written statement for the purposes of verification. The following Type B violations (potential health, safety, or personal rights risk to children in care) were cited for today’s visit: 1. CCR 101216(f)- (f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities. 2. HSC 1597.16(a)(1)- A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. ***The department may clear all violations after the review of the facilities’ Plan of Correction*** A copy of this report, the “Notice of Site Visit”, and their appeal rights were given to Office Manager/HR , Lisa Herrmann . A “Notice of Site Visit”, and the Type A violation must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. An exit interview was conducted, and the report was reviewed with Lisa Herrmann

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • CRIMINAL RECORD CLEARANCE

    Based on interview and record review, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care.

  • 101216(f)Type B

    PERSONNEL REQUIREMENTS

    Based on interview and record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.

  • ARTICLE 3. Administration

    Based on interview and record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to children in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 10, 2023 inspection of GOOD SHEPHERD LUTHERAN SCHOOL?

This was a inspection inspection of GOOD SHEPHERD LUTHERAN SCHOOL on May 10, 2023. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to GOOD SHEPHERD LUTHERAN SCHOOL on May 10, 2023?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "Based on interview and record review, the licensee did not comply with the section cited above, which poses an immediate..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

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