191501187-3-17-2022-33-CC-BBAT-CCM22A-20220317170025

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191501187
Report Date: 03/17/2022
Date Signed: 03/17/2022 05:00:34 PM

Document Has Been Signed on 03/17/2022 05:00 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:	BETHANY PRESCHOOL		FACILITY NUMBER:	191501187
ADMINISTRATOR:	ROSEMARY LEON		FACILITY TYPE:	850
ADDRESS:	93 NORTH BALDWIN		TELEPHONE:	(626) 355-3527
CITY:	SIERRA MADRE	STATE: CA	ZIP CODE:	91024
CAPACITY: 90	TOTAL ENROLLED CHILDREN: 90	CENSUS: 14	DATE:	03/17/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:29 PM
MET WITH:	Wendy Veas, Director		TIME COMPLETED:	05:15 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) Bardo Baluyot conducted an unannounced Required Annual inspection on this date. LPA met with Director Wendy Veas, who guided the Analyst on a tour of the facility. This is a preschool program, that operates Monday thru Friday, from 7:00 AM to 6:00 PM, and is located on the property of Bethany Church of Sierra Madre and Bethany Christian Elementary School, both operating independently, both indoors and outdoors. There are a total of three (3) classrooms on the premises. Per Director, facility will resume as a year round program starting on June 1, 2022. Per Director, she will contact Licensing to provide all required information updates once finalized with the administration. LPA observed a total of fourteen(14) children in care, five (5) in the T-K classroom, also known as the "Ladybugs" classroom. Children that were observed in the Ladybugs classroom, consisted of 4 & 5 year olds. LPA observed nine (9) children in the Honeybees room and are ages 3.5 to 4.5. There was one teacher with each class visited. Teacher-child ratios were observed and staff names were recorded. Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. LPA inspected the additional classroom, ("Butterflies") identified on the facility sketch, to determine if furniture and equipment were in good condition. All classrooms were determined to be clean and in good condition. Water is provided via water jugs and plastic cups in each classroom. All toilets and hand washing sinks are in safe, sanitary, and operating condition. There a designated ill/isolation room adjacent to the main office equipped with a bed. Per Director Veas, designated isolation restroom is an adult designated restroom in the gym. There are smoke detectors on site, and the carbon monoxide detector on site was tested and is operable. Report continues on next page 1 of 3

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2022

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: BETHANY PRESCHOOL	FACILITY NUMBER: 191501187
	VISIT DATE: 03/17/2022

NARRATIVE

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This facility allows parents to provide snacks for each individual child in each classroom. The facility also participates in the lunch program or parents have the option to provide lunch for their child. All kitchen, food preparation, and storage areas are clean at this time. All storage containers used for solid waste, including moveable bins have tight fitting lids at this time. Disinfectants, cleaning solutions, poisons and other items that are dangerous, are inaccessible to children in care.

Outdoor playground equipment was observed to be in a safe condition, and there is a large outdoor canopy, which provides shade while children are outdoors in the play yard. The surface of the outdoor playground is maintained in a safe condition and is free of hazards. All areas around or under slides and swings are cushioned with material that absorbs a fall. There are two operational water fountains accessible to the children outside but are not in use since the pandemic. All children bring personal water bottles daily. Per Director, the play area is shared with the Elementary school on a staggered schedule to avoid co-mingling. LPA observed a grassy area next to the play yard accessible to children in care, and per Director, is used for outdoor recreational activities. There is also a large, cemented area, just above the outdoor playground, for children to ride bikes and scooters.

Staff and children records were reviewed for completeness and an inspection of required forms was made. A copy of the Confidential Name List (LIC 857 & LIC 859) was provided to the Director. No bodies of water were observed on the premises.

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

Report continues on next page 2 of 3

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2022

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: BETHANY PRESCHOOL	FACILITY NUMBER: 191501187
	VISIT DATE: 03/17/2022

NARRATIVE

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LPA advised the licensee how to access forms and regulations on line at: www.ccld.ca.gov.

LPA also advised Licensee on how to obtain the Department's Quarterly Updates via the following website address: www.childcareadvocatesprogram@dss.ca.gov and registered to receive them on this date.

LPA determined that the Director and all staff have completed the required Mandated Reporter training requirement.

Based on LPA’s observations and records review, there are no deficiencies being cited in accordance with California Code of Regulations Title 22.

Director Veas 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.

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 the Director, Wendy Veas.

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/process.

Report ends page 3 of 3

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2022

LIC809 (FAS) - (06/04)

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