191571393-3-22-2023-54-CC-JESA-CQ6UB3-20230322152540

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191571393
Report Date: 03/22/2023
Date Signed: 03/22/2023 03:25:53 PM

Document Has Been Signed on 03/22/2023 03:25 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	EMMANUEL PRESCHOOL		FACILITY NUMBER:	191571393
ADMINISTRATOR:	GARCIA, KARRIE		FACILITY TYPE:	850
ADDRESS:	15941 VIRGINIA AVE.		TELEPHONE:	(562) 531-8762
CITY:	PARAMOUNT	STATE: CA	ZIP CODE:	90723
CAPACITY:	73	CENSUS: 31	DATE:	03/22/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Director Karrie Garcia		TIME COMPLETED:	03:35 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	On 3/22/23 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced 1 year Required Annual Inspection. LPA met with Program Director Karrie Garcia, who provided a tour of the facility. Per Director, the hours of operation are Monday - Friday 7:30AM to 5:45PM for the full time program and 8:30AM to 12:20PM for the half day program. The facility has 3 operating classrooms where care is provided. 2 additional classrooms are not being used at the moment. LPA observed 12 children with two staff in the young 3s classroom (Green room), 6 children with one staff in the TK classroom (Purple room) and 13 children with two staff in the Pre-K classroom (Blue classroom). Teacher child ratios were observed to be in compliance and staff names recorded. The following was observed during the tour of the facility: All areas used by children were inspected. All classrooms inspected for cleanliness and good repair. The floors were clean and lighting was in operable condition. There were age appropriate toys and equipment. Children bring their own water bottles and they are refilled at the facility if needed. The facility has not completed the lead testing requirement at this time. Each child has their own cubby/storage area. Each classroom has a restroom available. The restroom in the green room has 2 toilets and 1 sink. The purple room has two gender specific restrooms, each with 2 toilets and 2 sinks and the restroom in the blue room has 1 toilet and 1 sink. All restrooms were observed to be clean and in operable condition. Smoke and carbon monoxide detectors were observed to be in operable condition. LPA observed a Fire extinguisher which indicated fully charged with a service tag dated 04/2022. The facility provides a morning and an afternoon snack. Menus are posted a week in advance. Children bring their own lunch. The staff prepare snacks in the kitchen at this facility. LPA inspected the food preparation area and observed it to be clean and in operable condition. All food was observed to be in good quality. LPA toured the outdoor play area Outdoor area was observed to have age-appropriate toys and material for children, free of loose, sharp, and/or pointed parts. LPA observed required cushioning under climbing structure to absorb fall. Shade was observed in the outdoor area. Outdoor drinking water is provided. There are no bodies of water on the premises. Children all nap in one room in the facility. Napping equipment and bedding were inspected and found to be clean and in operable condition.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

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 4

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: EMMANUEL PRESCHOOL	FACILITY NUMBER: 191571393
	VISIT DATE: 03/22/2023

NARRATIVE

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Per Director, sheets are washed at the facility and blankets are sent home weekly. The isolation area is located in the Director's office. Ill children may use the staff restroom.The facility administers medication but at the moment there are no children enrolled who require medication. Medication would be stored in cabinet in the kitchen or in the refrigerator if required. Cleaning supplies were observed to be inaccessible in the classrooms. Children's records reviewed contained the required forms.
Staff records were reviewed. There is at least one staff present with a valid pediatric CPR/first aid certification during this visit. All staff had required proof of immunization against measles, pertussis, and flu (or had a flu declination). All staff had valid mandated reporter for child care providers training.
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.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation 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
LPA informed Director of the importance of checking for recalled devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
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/tion-process.

The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. One type B is issued regarding the incompliance with the lead testing for water. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: EMMANUEL PRESCHOOL	FACILITY NUMBER: 191571393
	VISIT DATE: 03/22/2023

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	Page 3 Exit interview was conducted with Program Director Karrie Garcia. Director was provided a copy of the report and appeal rights (LIC 9058). The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 03/22/2023 03:25 PM - It Cannot Be Edited

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: EMMANUEL PRESCHOOL	FACILITY NUMBER: 191571393
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/22/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview, the licensee did not comply with the section cited above. The facility has not completed the water lead testing which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/22/2023
	Plan of Correction
1 2 3 4	Per Director, they will contact a water testing company to have water source tested for lead. Proof of appointment will be provided to LPA.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Valarie Cook	TELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette Estrada	TELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

LIC809 (FAS) - (06/04)

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