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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191590543
Report Date: 10/15/2019
Date Signed: 10/15/2019 12:19:37 PM

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:GRACE GARDEN CHRISTIAN PRESCHOOLFACILITY NUMBER:
191590543
ADMINISTRATOR:CHONG SWEE YEEFACILITY TYPE:
850
ADDRESS:1423 SO. NEW AVETELEPHONE:
(626) 281-1009
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:71CENSUS: 48DATE:
10/15/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Rita SaaverdaTIME COMPLETED:
12:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Ariel Cazares and Jose Guzman conducted an unannounced annual/random inspection on this date. LPA met Teacher Rita Saaverda as Director was not present on this date. LPAs toured the facility and observed 14 children present and 5 staff total. The facility’s hours of operation are Monday through Friday, 7:00am-6:30pm. Office assistant Elise Sheu arrived later and completed inspection with LPAs.

LPA toured the areas according to the facility sketch on file. The facility consists of 4 of classrooms and 1 playground. Each classroom was inspected. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own hooks to store their belongings. Napping equipment is available in form of cots. Per office assistant, linens are being washed every 2 weeks. Reminder: Linens are to be taken home each week to be washed. LPAs observed sheets covering cots to be touching other sheets. Children's bedding should not be touching one another. There is available drinking water in form of water jugs and personal water bottles. The children’s restroom is located in between classroom 2 & 3. The restrooms were observed to be clean and in good condition, with sufficient supplies for children to use. LPAs observed in Classroom 3 a door with a screen lifting off, which can cause a hazard to child. LPAs observed in Classroom 4 (door is labeled 5) that the toothbrushes and toothpaste children use are not kept clean and sanitary. Photos were captured.

Per office assistant, the isolation area is located in the office and a staff restroom is available for ill children to use. The office is used to store medication for children. LPAs observed the box and fridge were medication is stored is not locked or latched and can be accessible to children.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
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 7
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: GRACE GARDEN CHRISTIAN PRESCHOOL
FACILITY NUMBER: 191590543
VISIT DATE: 10/15/2019
NARRATIVE
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The facility has a kitchen where meals and snacks are prepared and cooked for the children. Menus were posted for review. The kitchen was inspected and observed to be clean, orderly, and sufficient storage for supplies. LPAs observed in the freezer a bowl of meat that was not covered nor labeled. Per office assistant the meat was prepare last week for children. LPA advised that it be discarded and any food prepared in advance be properly labeled and stored. Any food brought by children can be stored in the refrigerator in the office and is properly labeled. The facility provides lunch and two snacks.

LPA inspected the children’s outdoor space. The playground was inspected for safety, cushioning material, good repair and age appropriateness. LPA observed there to be shade and adequate fencing. Drinking water is available in form of a water fountain. LPAs found that fountain is functional. The area on the side of the facility leading from the playground to the kitchen must be barricaded as the area is used to store items such as tools that can pose a risk to children. There was no staff standing in this area to prevent children accessing this space.

LPA also reviewed criminal record clearances, children and staff records. Staff #1-5 do not have current proof of the influenza vaccine nor declination. LPAs found on this date a staff who identified themselves as volunteer Liting Wu who was not associated to the facility. Per Ms. Wu she started volunteering in the facility on 10/7/19. Based on her hours she does not meet volunteer status. There was no file available for review. Ms. Wu stated she has not yet obtained fingerprint clearance. Because Ms. Wu is not a qualified staff and was in Classroom 1 with 1 teacher and 13 children, the classroom was out of ratio. Office assistant Ms. Elise stepped in to be in compliance.

Incidental Medical Services (IMS) policy was discussed. 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
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
LIC809 (FAS) - (06/04)
Page: 2 of 7
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: GRACE GARDEN CHRISTIAN PRESCHOOL
FACILITY NUMBER: 191590543
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/29/2019
Section Cited

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The day care center shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person’s personnel record that is maintained by the day care center.
This requirement has not been met as evidenced by review of staff files.
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Staff #1-5 did not have proof of current influenza vaccine or declination on file. This poses a potential risk to the health and safety of children in care.
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Type B
10/22/2019
Section Cited

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Medications shall be kept in a safe place inaccessible to children.
This requirement has not been met as evidenced by LPAs observations of medication in the office fridge not latched. The office is used as the isolation are for ill children. This poses a potential risk to the health and safety of children in care.

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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:
DATE: 10/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2019
LIC809 (FAS) - (06/04)
Page: 5 of 7
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: GRACE GARDEN CHRISTIAN PRESCHOOL
FACILITY NUMBER: 191590543
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/16/2019
Section Cited

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Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.
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This requirement has not been met as evidenced by LPAs inspection of the facility and not finding a carbon monoxide detector. Staff could not verify if there was one in the facility. This poses a potential risk to the health and safety of children in care.
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Type B
10/22/2019
Section Cited

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Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding

This requirement has not been met as evidenced by LPAs observations of the children's napping sheets coming in contact
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with other children's sheets. This poses a potential risk to the health and safety of children in care.
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:
DATE: 10/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2019
LIC809 (FAS) - (06/04)
Page: 7 of 7
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: GRACE GARDEN CHRISTIAN PRESCHOOL
FACILITY NUMBER: 191590543
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/22/2019
Section Cited

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Sheets shall be washed weekly or when soiled or wet.
This requirement has not been met as evidenced by office assistant's disclosure that children's sheets are washed every 2 weeks. This poses a potential risk to the health and safety of children in care.
Type B
10/22/2019
Section Cited

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All food shall be selected, stored, prepared and served in a safe and healthful manner.
This requirement has not been met as evidenced by LPAs observations of frozen meat prepared and stored in the freezer with a cover or label. This poses a potential risk to the health and safety of children in care.
Type B
10/22/2019
Section Cited

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All children shall be protected against hazards within the center
This requirement has not been met as evidenced by LPAs observations the screen lifting off the door from classroom #3 exposing sharp edges. This poses a potential risk to the health and safety of children in care.
Type B
10/22/2019
Section Cited

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All children shall be protected against hazards within the center
This requirement has not been met as evidenced by LPAs observations of hazardous items such as tools and paint near the playground that were accessible. This poses a potential risk to the health and safety of children in care.
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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:
DATE: 10/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2019
LIC809 (FAS) - (06/04)
Page: 6 of 7
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: GRACE GARDEN CHRISTIAN PRESCHOOL
FACILITY NUMBER: 191590543
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/16/2019
Section Cited

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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:

Obtain a California clearance or a criminal record exemption as required by the Department
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This requirement has not been met as evidenced by LPAs review of the associations list finding that volunteer/staff Liting Wu has been working in the facility as of 10/7/19 without criminal record clearance. This poses an immediate risk to the health and safety of children in care.
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Type A
10/15/2019
Section Cited

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There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.

This requirement has not been met as evidenced by LPAs observations of a volunteer and 1 teacher in classroom #1 with
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13 children. This poses an immediate risk to the health and safety of children in care.
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:
DATE: 10/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2019
LIC809 (FAS) - (06/04)
Page: 4 of 7
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: GRACE GARDEN CHRISTIAN PRESCHOOL
FACILITY NUMBER: 191590543
VISIT DATE: 10/15/2019
NARRATIVE
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Upon receipt of this report, the Licensee shall post the Notice of Site visit and any licensing report documenting a type “A” deficiency. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee.

See attached deficiencies page for citations in accordance with Title 22 California Code of Regulations.

Exit interview conducted with Office Assistant Elise. A copy of this report and appeal rights were provided and explained.

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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
LIC809 (FAS) - (06/04)
Page: 3 of 7