191500198-9-16-2019-33-CC-JHUA-BG3QUJ-20190916122850

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191500198
Report Date: 09/16/2019
Date Signed: 09/16/2019 12:28:56 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:	DIAMOND BAR COMMUNITY PRESCHOOL		FACILITY NUMBER:	191500198
ADMINISTRATOR:	MARISA BAILEY		FACILITY TYPE:	850
ADDRESS:	400 SOUTH RANCHERIA ROAD		TELEPHONE:	(909) 861-2260
CITY:	DIAMOND BAR	STATE: CA	ZIP CODE:	91765
CAPACITY:	36	CENSUS: 36	DATE:	09/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Mitzie Bailey (Jessiman)		TIME COMPLETED:	12:40 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	An annual random site inspection was conducted by Licensing Program Analyst, Jennifer Hua met with director. The facility operates under the guidelines of a parent co-op. Program is a half day program There are 3 classrooms designated for the program. Child care areas identified on the Facility Sketch were inspected. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. Storage for children's belongings and an isolation area with sink, toilet, and mat/cot were reviewed. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, dispensable soap, area safety and sanitation. Carbon monoxide detector in place. Per director, No medications are administered. Snack menus were reviewed. Indoor drinking water observed. Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Outdoor play area safety was discussed with the director. Sign in/out sheets and procedures were reviewed, as was the policy for checking children for illness or injury. Incidental Medical Services - (IMS) was discussed. For IMS information see Evaluator Manual - Regulation and 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

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

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: DIAMOND BAR COMMUNITY PRESCHOOL	FACILITY NUMBER: 191500198
	VISIT DATE: 09/16/2019

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Staff and children records were reviewed for completeness including but not limited to Criminal Record Clearances for adults, Director Qualifications and verification of CPR/First Aid and health preventive practices documentation. Review of required forms was made. Staff have completed the Mandated Reporter Training on department website at http://www.mandatedreporterca.com/

The Department website is www.ccld.ca.gov or www.dss.ca.gov to access forms, updates and Title 22 Regulations.

No deficiency cited.

An exit interview conducted with director. Notice of Site Visit Form was provided and explained. The notice shall be posted for 30 days or a civil penalty of $100 will be assessed.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

LIC809 (FAS) - (06/04)

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