<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500635
Report Date: 06/12/2019
Date Signed: 06/14/2019 08:55:08 AM

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:ST MARK'S PRE SCHOOLFACILITY NUMBER:
191500635
ADMINISTRATOR:LAURA MUNOZFACILITY TYPE:
850
ADDRESS:2323 LAS LOMITAS DRIVETELEPHONE:
(626) 968-0428
CITY:HACIENDA HEIGHTSSTATE: CAZIP CODE:
91745
CAPACITY:138CENSUS: 73DATE:
06/12/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Laura MunozTIME COMPLETED:
12:20 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
Random Site inspection was conducted on this date by Licensing Program Analyst, Jennifer Hua, who met with Director, Laura Munoz,, who guided analyst on a complete tour of the facility. There are a total of 6 classrooms and 3 playgrounds. The program operates M-F 6:30am - 6pm.

Rooms identified on facility sketch were inspected Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Napping equipment and bedding were inspected. Storage for children's belongings and an isolation area with a sink, toilet, and mats/cots was inspected. Age appropriate sinks and toilets were inspected for availability and good repair. General sanitation was observed. Availability of indoor drinking water was observed.

Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water.

Snack/lunch menus were reviewed. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness. A review of cleaning and food supply storage areas was made.

Teacher child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met.

Continue on next page.
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019
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 3
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: ST MARK'S PRE SCHOOL
FACILITY NUMBER: 191500635
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/17/2019
Section Cited
CCR
101226(2)(3)(B)(1)
1
2
3
4
5
6
7
Health Related Services. All prescription and nonprescription medications shall be maintained with the child's name and shall be dated. Prescription medications may be administered if all of the following conditions are met: For each prescription medication, the licensee shall obtain, in writing, approval and
1
2
3
4
5
6
7
Per licensee, will correct, maintain record and submit copy of record to LPA by the POC due date of 6/17/19
8
9
10
11
12
13
14
instructions from the child's authorized representative for the administration of the medication to the child. The requirement is not met as evidenced by: Authorization not in file and the epipen was not labeled with child's name and not dated. This is a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
Type B
06/13/2019
Section Cited
CCR
101229.1(b)
1
2
3
4
5
6
7
Sign In and Sign Out. The person who brings the child to, and removes the child from, the center shall sign the child in/out. The requirement is not met as evidenced by: LPA observed in Room 6C, 1 child was not signed in. In room #2, 2 children were not signed in. This is a potenital risk to the health and safety of children in care.
1
2
3
4
5
6
7
Per licensee, will talk to parents, will send reminder and will have staff remind parents to sign in at drop off.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: ST MARK'S PRE SCHOOL
FACILITY NUMBER: 191500635
VISIT DATE: 06/12/2019
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
26
27
28
29
30
31
32
Staff certification in Pediatric CPR and FIRST AID is current and valid for staff members at this site. Staff/children records were reviewed for completeness including but not limited to: Criminal Record Clearances for adults and Health Screenings. Staff files reviewed contained newly required vaccinations/statements. LPA observed staff have completed the Mandated Reporter Training on department website at http://www.mandatedreporterca.com/ certificate in staff files. Licensee was informed training shall be renewed every 2 years.

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 Child Care Centers Sections 101173 and 101226. 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
.
INTERNET ADDRESS: http://www.ccld.ca.gov – To access licensing forms, updates and Title 22.

After a complete inspection of the facility, deficiency cited on attached 809D.

An exit interview was conducted. Copy of report given. Appeals rights provided and explained.

Notice of Site Visit was issued and posted. This notice is to be posted for 30 consecutive days. Failure to keep this notice posted for the 30 consecutive days will result in an immediate $100 civil penalty.
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3