191500522-6-2-2022-33-CC-BBAT-CEZQXY-20220602123420

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191500522
Report Date: 06/02/2022
Date Signed: 06/02/2022 12:34:35 PM

Document Has Been Signed on 06/02/2022 12:34 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:	ONEONTA NURSERY SCHOOL		FACILITY NUMBER:	191500522
ADMINISTRATOR:	KAREN VAHALA		FACILITY TYPE:	850
ADDRESS:	1515 S. GARFIELD		TELEPHONE:	(626) 799-3105
CITY:	SOUTH PASADENA	STATE: CA	ZIP CODE:	91030
CAPACITY: 55	TOTAL ENROLLED CHILDREN: 55	CENSUS: 36	DATE:	06/02/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:23 AM
MET WITH:	Director, Karen Vahala		TIME COMPLETED:	12:45 PM

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Licensing Program Analyst (LPA) Bardo Baluyot conducted an unannounced required annual visit. LPA met with Director, Karen Vahala who guided the analyst on a tour of facility. A COVID risk self-assessment was conducted upon entry. This is a co-op preschool program which consists of 3 classrooms; Green House Room (2-3 yrs old), Sun Room (3-4 yrs old) and Tree House Room (4-5 yrs old). This program operates from 8:30AM - 12PM or 3:30PM (depending on classroom.) This facility is located on Oneonta Church property. Two other programs operate/share the campus. (MyKKids and Kids Klub)

All areas were identified on the Facility Sketch were inspected. The following staff were observed during this visit: Greenhouse Room: staff #1 and staff #2 and two parent volunteers with 9 children, Sun Room: staff #1 and staff #2 and two parent volunteers with 12 children and Treehouse Room: staff #1 and staff #2 and two parent volunteers with 15 children,. Teacher-Child ratio was observed.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Director states that there are no poisons on the premises. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All toilets, hand washing, and bathing facilities are safe, sanitary and are operating properly. All floors are clean and safe.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. Drinking water is readily available both indoors and outdoors. The facility was observed to be free of flies, other insects and rodents.

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Ana Chico
Bardo Baluyot
	DATE: 06/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022

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: ONEONTA NURSERY SCHOOL	FACILITY NUMBER: 191500522
	VISIT DATE: 06/02/2022

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Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid was present during this visit. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence is on file. Educational background, training, and/or experience for each staff present are on file and were reviewed.

Director 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.

Previously used Snack menus were posted where it is visible by the child's authorized representative despite all meals are now being brought from home since the start of the pandemic.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

Staff and Children’s Records were reviewed for completeness; Inspection of required forms was made. LPA issued the Children's Record Review Form (LIC 857) and the Staff Records Review Form (LIC 859) to the Director during this visit. The Record Review Forms document the staff and children’s files that were reviewed during this visit.

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SUPERVISOR'S NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022

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: ONEONTA NURSERY SCHOOL	FACILITY NUMBER: 191500522
	VISIT DATE: 06/02/2022

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LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

At this time, the facility is in compliance with Title 22 Regulations. Therefore, there are no deficiencies being cited today.

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.

Exit interview conducted and report was reviewed with Director, Karen Vahala.

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.

REPORT END

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SUPERVISOR'S NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:	DATE: 06/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022

LIC809 (FAS) - (06/04)

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