191201896-7-6-2021-33-CC-CGRN-C4NS7Y-20210706133818

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191201896
Report Date: 07/06/2021
Date Signed: 07/06/2021 01:38:25 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	LA CRESCENTA PRESBYTERIAN CHURCH CTR. FOR CHILDRE		FACILITY NUMBER:	191201896
ADMINISTRATOR:	CHAMBERS, PATRICIA		FACILITY TYPE:	850
ADDRESS:	2902 MONTROSE AVE		TELEPHONE:	(818) 249-8124
CITY:	LA CRESCENTA	STATE: CA	ZIP CODE:	91214
CAPACITY:	115	CENSUS: 42	DATE:	07/06/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	10:28 AM
MET WITH:	Patricia Chambers		TIME COMPLETED:	12:35 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Crystal Green conducted an announced case management inspection to evaluate the facility's request to add a toddler option program. Due to COVID- 19 precautionary measures were taken, individuals present during inspection wore appropriate personal protective equipment. Facility was observed to be adhering to local public health guidelines. Licensing staff met with Director, Patricia Chambers, who guided analysts on a tour of the facility. Licensee is requesting to decrease the preschool capacity and add a toddler option program. Licensee also has an infant license 191222458 and school age license 191223032 which are both licensed through the Department. This facility is located on a church property. At 11:00 AM, Licensing staff was guided through a tour of the proposed toddler option classrooms, the designated outdoor area, and the existing preschool program. No alterations have been made to the exterior or interior of the facility. The facility is currently operating and LPA obtained census. This existing preschool program has a total of 7 Classrooms #101- #105 and #107 and #108. LPA observed classroom #103 and #107 to not be in use. The proposed toddler option classroom will be located in Classroom #101. LPA observed the toddler classroom area to be physically separate from the Preschool classrooms. LPA also observed 3 cribs and cots available from the toddlers. There is also a changing table located within arms reach of a sink. There is one toilet and one sink available inside the proposed toddler room. All toilets and hand washing facilities are in safe and sanitary operating conditions. LPA observed drinking water available via water cooler with disposable cups available in the classroom. There are age-appropriate toys available for children in care. Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. All materials and surfaces accessible to children are toxic free. Licensing staff was guided through the proposed outdoor toddler space which they will used the playyard next to classroom 105. Per Director, There is a outdoor waiver on file for shared usage of the outdoor playyard. There is adequate shade in the outdoor play area. The outdoor play equipment was observed to be in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards. At this time, the front room is used as an isolation area. Report Continues Page 1 of 2

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2021

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LA CRESCENTA PRESBYTERIAN CHURCH CTR. FOR CHILDRE	FACILITY NUMBER: 191201896
	VISIT DATE: 07/06/2021

NARRATIVE

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During this inspection, LPA obtained measurements for the proposed toddler classroom. Based on those measurements obtained, capacity for the proposed toddler program will be (12) twelve, and the preschool capacity will be reduced to (99) ninety-nine. Total capacity for the preschool license will be for 111 (one- hundred eleven) children.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

The exit interview was conducted with Director, Patricia Chambers, Appeal Rights and Procedures explained and provided.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Report Ends Page 2 of 2.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2