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Inspection visit

Routine inspection (multi-day)

MT. CALVARY LUTHERAN PRESCHOOLLicense 3609089381 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On April 24, 2023 at 11:25 a.m., Licensing Program Analyst (LPA) Kendal Zirbes conducted an unannounced Case Management Annual Continuation inspection and met with Administrator Kimberly Kopecky. LPA disclosed the purpose of the inspection and was granted entry into the facility by the Administrator. 20 preschool children, the Administrator and five (5) staff members were present at the facility during the inspection. At approximately 11:35 LPA and the Administrator completed a safety inspection of the preschool. No deficiencies were observed with the physical plant. During this inspection, LPA reviewed 11 child files. Per LPA's reviewed one (1) child file out of the 11 did not have updated immunization records. LPA advised the Center to ensure the child's files have updated immunization's after enrollment. A technical advisory notice was issued. LPA reviewed six staff files. Four of the six staff files were incomplete and missing required documentation. Of the four incomplete files two files were missing the Health Screening, and three files were missing documentation of the staff members immunizations. A type B citation was issued, refer to LIC 809D During the inspection, Facility representative was advised of the requirement to report Unusual Incidents . Facility representative informed to utilize the Unusual Incident Report/Injury Report LIC624 when submitting the report to the department (email address unusualincidentreport@dss.ca.gov ). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of center. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The On-Duty Worker is available for questions at (661) 202-3318 Monday through Friday 8am-5pm. Report continued on page two Report continued from page one Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, shall inspect the facility. The Center shall permit the Department to inspect the child care center and to privately interview children or staff, to determine compliance with or to prevent violations of child care laws or regulations, also enter and inspect any place providing personal care, supervision and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation. Facility representative 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 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. LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. 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/inspection-process . Based on the inspection today, one deficiency is being cited based on LPAs record review in accordance with the California Code of Regulations, Title 22, see LIC809D . A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Kimberly Kopecky.

Citations

1 citation 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.

  • 101217(a)Type B

    PERSONNEL RECORDS

    Based on record review, the licensee did not comply with the section cited above in four of six personnel records did not contain all required information. Two of six staff files were missing the Health Screening, three of six staff files were missing documentation of the staff members immunization's. This poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 24, 2023 inspection of MT. CALVARY LUTHERAN PRESCHOOL?

This was an other inspection of MT. CALVARY LUTHERAN PRESCHOOL on April 24, 2023. 1 citation were issued: 1 Type B.

Were any citations issued to MT. CALVARY LUTHERAN PRESCHOOL on April 24, 2023?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in four of six personnel records did no..."

What type of inspection was this?

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

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.