191504209-8-23-2021-33-CC-SLEE-C66U5C-20210823151632

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191504209
Report Date: 08/23/2021
Date Signed: 08/23/2021 03:16:37 PM

COMPREHENSIVE INSPECTION

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:	LA VERNE UNITED METHODIST PRESCHOOL		FACILITY NUMBER:	191504209
ADMINISTRATOR:	ANGIE GUNTER		FACILITY TYPE:	850
ADDRESS:	3205 "D" STREET		TELEPHONE:	(909) 596-5369
CITY:	LA VERNE	STATE: CA	ZIP CODE:	91750
CAPACITY:	44	CENSUS: 15	DATE:	08/23/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:01 PM
MET WITH:	Valerie Nieves		TIME COMPLETED:	03:30 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 unannounced required inspection was conducted by Licensing Program Analyst Seung Lee. Upon arrival LPA Lee met with Valerie Nieves, Director who provided a tour of the facility. This preschool program consists of 2 classrooms. Hours of operations are Monday-Friday 6:30AM-6:00PM. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Each room identified on facility sketch were inspected. LPA observed that each classroom has its own restroom. Water for children is available for the children with cups and container. 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. Director stated that the DIrector's office and staff restroom is used for ill children. Any medication for children is stored in the Director's office while cleaning products are stored in the kitchen cabinets per Director. 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. Water for children outside is provided by bringing the container and cups outside from the classroom. During the inspection LPA Lee observed that the sand in the outdoor play space was a bit shallow near the high impact landing areas of the smaller play structure of the outdoor area. LPA Lee advised the facility to add more cushioning by adding more sand or other means to ensure the health and safety of children in care. Snack/lunch menus were reviewed. This facility serves breakfast, AM snack, and PM snack. Lunch is brought from home by the children from home. LPA observed that the facility does not prepare any foods on site other than reheating.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

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: LA VERNE UNITED METHODIST PRESCHOOL	FACILITY NUMBER: 191504209
	VISIT DATE: 08/23/2021

NARRATIVE

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

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. Per director, all staff have completed the mandated reporter training on department website. Certificate observed in staff files reviewed.

The facility was advised to refer to the latest guidelines from the California Department of Health for child care centers regarding health and sanitary practices.

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

For updates, forms and Title 22 Regulations visit department website at: www.ccld.ca.gov

No deficiencies were cited during this inspection.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Valerie Nieves. Appeal rights discussed and explained.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

LIC809 (FAS) - (06/04)

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