Inspector’s narrative
What the inspector wrote
On 02/03/2026, Licensing Program Analyst (LPA), Syeda Bahar met with the Director, Wendy Sue Clark Shepherd for an
unannounced Required - 3 Year inspection
. Upon arrival, LPA provided director a copy of the Entrance Checklist (LIC 125). The facility\342\200\231s current hours of operation are Monday and Friday from 09:00 AM - 12:00 PM, Tuesday, Wednesday and Thursday 9:00 AM \342\200\223 2:00 PM. The facility is located at Christ Fellowship Church. The Facility is licensed to serve ages 2 years to 6 years in classrooms P1, P2 and P3.
During today's inspection LPA toured the indoor and outdoor areas of the facility with the Director and a census was taken. Present during the inspection were director, three (3) fingerprint cleared staff members, and twenty-six (26) children in care. The facility is within ratio and in compliance with capacity regulations today.
Classrooms:
Currently used classrooms were inspected for age-appropriate furnishings, equipment, and adequate storage for children\342\200\231s belongings. LPA observed the indoor areas, floor, surfaces of the facility were clean, orderly, and safe for day care pre-school age children. LPA observed sufficient age-appropriate materials, toys, and play equipment in the facility. Toys are safe and do not have sharp edges or small parts that may pose a choking hazard. The facility is equipped with telephone service, wired smoke and carbon monoxide detectors, pull-down fire alarms, and fully charged
2A10BC
fire extinguishers (serviced on Aug 25, 2025) that are accessible throughout the facility. Fully stocked first-aid kits available in the classrooms. Drinking water is accessible by children in the classrooms via individual water bottles. The isolation area for when a child is sick is the Director\342\200\231s Office.
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Food/Meals:
The facility provides snacks for children in care if needed. Director stated that all children bring meals/snacks from home. All center provided food items are properly labeled and stored separately from cleaning supplies. Food prep area is clean, adequately equipped, and free from hazardous materials. Snack menus are posted and were reviewed. Solid waste bins are equipped with tight fitting lids.
Bathrooms and Changing Stations:
Facility has separate staff and child designated bathrooms. Toilets and faucets are in safe, sanitary, and operating condition. The children are able to reach the sinks, toilets, and supplies.
Outdoor Play Area:
The outdoor play area is fully fenced. LPA observed one wooden board (behind flower plant) of the fence was broken. Director stated that she will ensure the broken wooden board of the fence is repaired. All other equipment and surfaces are free from hazards. There is ample shade available. There are age-appropriate outdoor toys and materials for the children. The play structure is securely installed into the ground. The ground surrounding the play structure is sufficiently padded and in good condition for safety. Drinking water is accessible by children when outside via individual water bottles. There are no pools or other bodies of water on premises.
Files and Record Review:
Director was advised to maintain an updated personnel report and facility roster. LPA reviewed the currently enrolled children\342\200\231s name list on the Microsoft Excel sheet. The list was printed and provided to LPA by the director. Director provided an updated personnel report to LPA. All individuals subject to criminal record review have a clearance and/or exemption and have been associated to the facility. LPA reviewed four (4) staff files. Staff files were complete. Every classroom has a fully qualified teacher. At least one opening/closing staff member has a current Pediatric CPR/First-Aid Certification. Director\342\200\231s CPR/First-Aid Certificate is current, completed on 05/21/25, and expires in 5/2027. Mandated Reporter Training certificates were reviewed and current. Director completed the Mandated Reporter training 8/22/24 and expires in 8/2026. LPA reviewed five (5) children\342\200\231s files. Children\342\200\231s files were complete. Fire/disaster drills are performed at least once every six months. The last drill was a lock-down drill conducted on 10/17/2025. Per director, there are no firearms on the premises. All required documents are posted in a publicly accessible area.
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Record Keeping and Reporting Requirements:
Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Mandated Reporter Training ("Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting
https://mandatedreporterca.com/
. Facility roster and personnel report must be properly maintained, and fire/disaster drills must be conducted at least every six (6) months and documented. Effective August 1, 2003 California Law requires Child Care Licensees to report unusual incidents or injuries to children in care to child\342\200\231s parents and to the Department of Social Services using the Unusual Incident/Injury Form (LIC 624). Incidents must be reported within 24 hours to the regional office by phone and the written report, LIC 624, within seven (7) business days. LPA informed Director that all forms can be downloaded at
www.ccld.ca.gov
.
Criminal Record Clearance:
Director 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.
Lead Testing:
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). During today\342\200\231s inspection LPA observed that the center has not conducted the Lead testing. LPA referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.
MyChildCarePlan.org:
Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
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Incidental Medical Services (IMS):
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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/resources/child-care-centers/
.
CCLD Information and Updates:
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at
https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe
and select the Child Care option to receive email communication.
CCLD Inspection Process:
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
.
Based on record review and interview, the center has not conducted the lead testing according to the
Written Directives section 101700 (PIN 21-21.1-CCP). As a result, one (1) \342\200\234Type B\342\200\235 deficiency was issued on the attached page 809-D.
Exit interview was conducted, and report was reviewed with the Director, Wendy Sue Clark Shepherd. Appeal Rights were provided.
A Notice of Site Visit was given and must remain posted for 30 days.
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