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Inspection visit

Routine inspection

HOLY CROSS LUTHERAN CHILDREN'S CENTERLicense 4307101532 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA), Jennifer \342\200\234Jen\342\200\235 Beehler, met with Director, Cynthia Fehrenbach , for an unannounced Required- 1 Year Inspection. LPA was granted access to the facility by the Director and toured both indoors and outdoors during the inspection. Upon arrival, there were 54 school-age children and 5 teachers and 4 aides present, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility. Hours of operation for the facility are Monday \342\200\223 Friday 6:30AM-8:00AM for the morning session and the afternoon session is Wednesday 1:15PM - 6:00 PM and Monday, Tuesday, Thursday and Friday 2:30- 6:00 PM. 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. All staff persons present had criminal record clearance and were associated to the facility roster on Guardian. LPA reviewed sign-in/out sheets, facility roster (LIC9040), and fire/disaster drill log during today\342\200\231s inspection. Sign-in/out was observed to be completed with full legal signature and time of day. The last fire/disaster drill was conducted on 02/03/2025, which is compliant with the six month requirement for facilities. LPA observed a fully charged 3A40BC fire extinguisher last serviced 01/16/2025, which is compliant with state fire marshal regulations. LPA observed a fully functioning smoke detector system and a working carbon monoxide detector. Director states that she does have children in care who require Incidental Medical Services. This facility provides Incidental Medical Services \342\200\223 IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children\342\200\231s, personnel, and administrative records. Continued on Page 2 LPA observed the medication locked in a cabinet in the off limits area of the Director's office. LPA observed 2 medications that expired in August of 2024. Director removed the medication during the inspection and stated she would release it back to the parent's during pick up. 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) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/ . Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for the day care children. LPA observed sufficient age-appropriate materials, toys, and play equipment in the facility. Furniture, such as tables, chairs, and shelves, are in good condition and safe for children. The floors were clean and free of tripping hazards. Drinking water is readily available for children in the facility via water fountains and each child has water bottles from home labeled with the children\342\200\231s names. Staff and children\342\200\231s bathrooms are clean, sanitary, and operable. There is a separate staff bathroom, not utilized by the children. The Director has a working telephone in the facility. Cleaning and maintenance for the facility is conducted by an outside service and is completed in the evenings after all day care children have left the premises. The Director states that there are no weapons or firearms on the premises. The outdoor area of the facility was inspected and observed to be fenced in. LPA observed play equipment was in good condition, age-appropriate, and has sufficient resilient materials (tanbark) to absorb falls. No outdoor bodies of water were observed during today\342\200\231s inspection. Shaded rest area is provided by canopy, building overhang and trees. The play equipment was labeled with an age range of 5-12 years old. Food is provided by the facility and is stored, prepared, and served in a safe and healthful manner to the children. Facility offers an afternoon snack to children. Menu is in writing and posted at least one week in advance, accessible to authorized representatives. The kitchen and storage area is clean and free of litter and rubbish. Equipment necessary for the storage, preparation and service of food is well maintained, clean, and sanitized after each use. LPA observed milk in the refrigerator to expire on 02/07/2025. Continued on Page 3 10 children\342\200\231s files ( school-age) were reviewed during today\342\200\231s inspection for the following records: Physician\342\200\231s Report (LIC701), Notification of Parents Rights (LIC995A), Consent for Emergency Medical Treatment (LIC627), Identification and Emergency Information (LIC700), Signed Admission Agreement, and proof of enrollment into a school to confirm immunization records. LPA observed 10/10 children's files were missing LIC701. LPA provided a black copy to the facility to add to their admissions package for children in care. 5 staff files (3 Teachers/ 1 Aide / 1 Director) were reviewed for the following records: Transcripts/Verification of Experience, Health Screening Report (LIC503), Employee Rights (LIC9052), Criminal Record Statement (LIC508), Statement Acknowledging Requirement to report Child Abuse (LIC9108), Mandated Reporter Training Certificate, Tuberculosis (TB) Clearance, and Immunization Record showing immunity to measles (MMR), pertussis (Tdap), and influenza (or statement declining influenza). There is at least one staff member present with current CPR/First-Aid that expires 01/11/2027. The Director has current Mandated Reporter Training that expires on 03/27/2026 . LPA reminded Director that the Mandated Reporter Training must be renewed by all staff every 2 years and that the class must satisfy the requirement for AB1207. The Director understands that the site director shall be on the premises during the hours the center is in operation and that children at the center shall be visually supervised at all times. LPA reminded Director that there shall be at least one person with valid CPR and First-Aid certifications on site at all times or present during off site activities, such as field trips. Due to today's inspection, 2 - Type B Deficiencies were cited, more details provided on the attached LIC809-D. Exit interview conducted with Director Cynthia Fehrenbach, report reviewed and provided to the Director along with appeal rights. The following documents were collected during today's inspection: Disaster/Emergency Plan Facility Sketch for Facility and Grounds LPA provided facility with a blank application, administration organization form, physician's report and employee rights documents. NOTICE OF SITE VISIT WAS PROVIDED AND MUST REMAIN POSTED FOR 30 DAYS.

Citations

2 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.

  • PERSONNEL REQUIREMENTS

    Based on record review, the licensee did not comply with the section cited above in 2 out of 5 staff which poses a potential health, safety or personal rights risk to persons in care.

  • HEALTH-RELATED SERVICES

    Based on observations, LPA observed two medications for one child expired on 08/2024. The licensee did not comply with the section cited above in 1 out of 3 persons which poses 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 February 4, 2025 inspection of HOLY CROSS LUTHERAN CHILDREN'S CENTER?

This was an inspection of HOLY CROSS LUTHERAN CHILDREN'S CENTER on February 4, 2025. 2 citations were issued: 2 Type B.

Were any citations issued to HOLY CROSS LUTHERAN CHILDREN'S CENTER on February 4, 2025?

Yes, 2 citations were issued (0 Type A, 2 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in 2 out of 5 staff which poses a poten..."

What type of inspection was this?

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

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