191594162-1-8-2020-33-CC-CGRN-BKMSMU-20200108130030

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191594162
Report Date: 01/08/2020
Date Signed: 01/08/2020 01:00:35 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:	ALMANSOR CENTER (THE)		FACILITY NUMBER:	191594162
ADMINISTRATOR:	TAMERA PINELO		FACILITY TYPE:	850
ADDRESS:	1955 FREMONT AVENUE		TELEPHONE:	(323) 341-7768
CITY:	SOUTH PASADENA	STATE: CA	ZIP CODE:	91030
CAPACITY:	60	CENSUS: 44	DATE:	01/08/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Tamera Pinelo		TIME COMPLETED:	01:15 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 Analysts (LPAs) Crystal Green and Nolan Tcheng conducted an unannounced annual inspection. Upon arrival, LPAs met with Tamera Pinelo, Director. LPAs was guided on a tour of the facility both indoors and outdoors. This is a preschool program with a toddler option licensed for (60) children, up to (44) preschoolers and (16) toddlers. During the tour, LPAs observed that there was an infant program (191598412) located on the premises that is physically separate from the preschool program both indoors and outdoors. This licensed facility is also located on a shared campus with Almansor Academy. There is a total of (2) preschool classrooms and (2) toddler option classrooms. Staff names were recorded. All preschoolers and toddlers were observed by LPA to be under visual supervision of a teacher at all times. Food menus were also observed posted in the classrooms. Sign in and out sheets were reviewed. At this time, the office is used as an isolation area. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. There is telephone service, heating, lighting and proper ventilation. Napping equipment and bedding are good condition and is storage appropriately. Personal storage space for children's belongings is available. The toilets and sinks are age appropriate, are in good repair, safe and are sanitary. All storage containers for solid waste have tight-fitting covers that are kept on and are in good repair. There is drinking water is available via sippy cups. Outdoor playground equipment is in good condition, free of sharp, or pointed parts. The surface of the outdoor activity space is maintained in a safe and is free of hazards. All areas around or under climbing equipment and similar equipment cushioned with material to absorbs a fall. There is adequate shade provided in the play yard. Meals and snacks are provided and delivered from an outside source. Food is prepared in each of the classrooms where a kitchenette is available. Food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

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: ALMANSOR CENTER (THE)	FACILITY NUMBER: 191594162
	VISIT DATE: 01/08/2020

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This facility already offers Incidental Medial Services (IMS) to children that require it. Policy for IMS services already on file per Director. Staff Records was reviewed to ensure that each file contains a Personnel Record, Qualifications and verification of CPR/First Aid and health preventative practices documentation. Children’s Records was reviewed to ensure that each child has an Emergency and Identification form on file.

No deficiencies are being cited in accordance with California Code of Regulations Title 22.

Exit interview was conducted with Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 01/08/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020

LIC809 (FAS) - (06/04)

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