191223494-6-13-2023-33-CC-CGRN-CSRQZT-20230613123714

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191223494
Report Date: 06/13/2023
Date Signed: 06/13/2023 12:37:20 PM

Document Has Been Signed on 06/13/2023 12:37 PM - It Cannot Be Edited

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:	CRESCENTA-CANADA NURSERY SCHOOL		FACILITY NUMBER:	191223494
ADMINISTRATOR:	MICHELLE REILLY		FACILITY TYPE:	850
ADDRESS:	1700 FOOTHILL BLVD.		TELEPHONE:	(818) 952-2524
CITY:	LA CANADA FLINTRIDGE	STATE: CA	ZIP CODE:	91011
CAPACITY:	31	CENSUS: 13	DATE:	06/13/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Michelle Reilly		TIME COMPLETED:	12:45 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 unannounced required 1 year inspection. Licensing Staff met with Director, Michelle Reilly. This program is licensed to operate as a preschool parent cooperative program. Facility operation hours are from Monday to Friday from 9:00 AM to 12:00 PM. This facility is located on the premises of Lutheran Church in the Foothills. The following was observed during this visit. At 10:45 AM, Licensing staff observed 7 children with 1 parent in Room 1. In Room 2, LPA observed 6 children with 1 parent. All children were observed by licensing staff to be under visual supervision of a teacher at all times. Licensing staff observed the facility to be clean, safe, sanitary and in good repair. Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All toilets and hand washing facilities are in safe and sanitary operating conditions. At this time, there is a classroom which is not used by children will serve as the ill isolation area. There are chairs in the room. Parents are contacted immediately when children are determined to be ill and staff are ensuring that children with obvious symptoms of illness are not being accepted. Children are signed in by parents upon entry to their designated classroom. Parents provide lunches and snack for their child. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are stored in an area inaccessible to children. At 11:07 AM, LPA tested the fire alarm which was found to be functional. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. 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: 06/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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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: CRESCENTA-CANADA NURSERY SCHOOL	FACILITY NUMBER: 191223494
	VISIT DATE: 06/13/2023

NARRATIVE

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There is drinking water accessible to the children in care via individual water bottles and personal sippy cups. Per the Director, children do use the water faucets for drinking and the facility do not prepare food on the premises. LPA observed the drinking water faucets to be made inaccessible via a plastic covering.

Outdoor play equipment was observed to be in good condition. Outdoor activity space surface is maintained in a safe condition as is free of hazards. Areas around and/or under climbing equipment, swings and slides have cushioning material such as sand to absorb a fall. The outdoor play area was observed to be fenced and water is brought outside via water bottles and cups.
Staff Records were reviewed to ensure that a health screening report is on file. Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file.

Incidental Medical Services (IMS) policy was discussed. 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

At this time, the licensee is in compliance with California Title 22 Regulations. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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.

Exit interview was conducted with Director, Michelle Reilly. A notice of site visit was given and must remain posted for 30 days.

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SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 06/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2023

LIC809 (FAS) - (06/04)

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