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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191596484
Report Date: 02/09/2022
Date Signed: 02/09/2022 05:32:21 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:MONROVIA UNIFIED SCHOOL DISTRICT-PRESCHOOL CENTERFACILITY NUMBER:
191596484
ADMINISTRATOR:MARIANA SANCHEZFACILITY TYPE:
850
ADDRESS:1000 S. CANYON BLVD.TELEPHONE:
6264712001
CITY:MONROVIASTATE: CAZIP CODE:
91016
CAPACITY:190CENSUS: 69DATE:
02/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Tom McFadden DirectorTIME COMPLETED:
05:40 PM
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Licensing Program Analyst (LPAs) Cynthia Reyes and Carolyn Tuba, conducted an unannounced 1 year annual inspection on this date. LPAs met with Director/Program Coordinator, Tom McFadden and a copy of the Entrance Checklist for Child Care Centers form (LIC 125) was provided. A Covid-19 risk assessment was conducted prior to entering the facility. Due to COVID- 19 precautionary measures were taken during the entire inspection and all individuals present during this inspection wore appropriate personal protective equipment.

The facility shares the campus with a special education program. There are a total of 6 classrooms designated for the preschool program. Hours of operation vary by program. There is a full day program (7:30-5:00), AM session (8:30-11:30), and PM session is M/T & Th/F (12:45-3:45) and W (12:30-3:30).

10 AM The tour began at the front lobby area where LPAs were guided down a hallway to exit the building to enter another hallway leading to the Preschool program classrooms. LPAs observed parents sign the child in/out at a table located at the outside of the entrance of each classroom door. Temperatures and health checks will be conducted. Use of hand sanitizer will also be available. Parents will not enter the classrooms, unless they request to enter the classroom, which at that time all precautionary measures will be taken for that individual entering. Facility staff will walk the child inside the class room and bring the child out at pick up time. LPA observed by the sign in/out area, all licensing forms and Covid-19 posters. Facility was observed to be adhering to local public health guidelines. (According to CDC guidelines, children under the age of (2) are not required to wear masks.)

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were observed to be inaccessible to children. Tom states there are no poisons located at the facility. Carbon monoxide and smoke detectors were observed and are operable. Tom stated there are no weapons or firearms on the premises.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
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 5
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: MONROVIA UNIFIED SCHOOL DISTRICT-PRESCHOOL CENTER
FACILITY NUMBER: 191596484
VISIT DATE: 02/09/2022
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All areas identified on the Facility Sketch were inspected. The following was observed during the tour of the preschool classrooms. LPAs observed in Room 7 there was one teacher with zero children. Room 11 had 1 teacher and 1 Aide with 14 children. Room 12 had 1 teacher and 2 aides with 21 children. Room 13 had 1 teacher and 2 aides with 15 children. Room 10 had 2 teachers and 2 aides with 19 children. Room 15 is only be used as a Multi-Purpose Room zero children were observed on this date. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. All children were observed to be under supervision and observation, including visual supervision, of a teacher at all times. The licensed facility is within the conditions, limitations, and capacity specified on the license.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Preschool children have their own cubby to store their personal belongings. LPA observed napping equipment/bedding and was inspected to be in good condition, appropriate storage and cleanliness. Linens are washed weekly. The ill isolation area is located in the back office area of the lobby. Staff restrooms are located in the main office, in the staff lounge area and in the northern and southern part of the school.

Menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. The facility provides full day program receives breakfast, lunch, and snack. Part time sessions receive lunch. Breakfast and Lunch is brought in by the School District Food Service. Snack is prepared in the kitchen of Room 10. There is drinking water available indoors and outdoors with each child has their own water bottle labeled with their name on it, as well as a automatic water dispenser near classrooms 12 and 13.

11 AM The outdoor playground was inspected and the play equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. LPA did not observe any bodies of water on the premises. The Preschool play yard is separated by a gate to ensure no commingling with the other components. However it was observed that in the play area #1 in front of classroom 10 additional wood chips are needed as felt material is protruding underneath. In the play area #2 in front of classrooms 12 and 13 there is a curb that surrounds the apparatuses and it is recommended that it be painted or highlighted in yellow or red, and is visible and it is not a tripping hazard. Play area #3 near classroom 7 additional shade is needed. The gate near the boys and girls restroom by classroom 13 is not locked and is left open by parents, as well as not supervised by staff members and was observed parents coming in and out. LPAs recommended to keep smaller gate and gated door located by Almond Street locked and open it only during pick-up times with a staff member supervising for AM and PM drop-off and pick-up times.



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SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: MONROVIA UNIFIED SCHOOL DISTRICT-PRESCHOOL CENTER
FACILITY NUMBER: 191596484
VISIT DATE: 02/09/2022
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Tom 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.

Children’s Records were reviewed for completeness; Inspection of required forms was made and documented on the LIC 857. LPA also reviewed Staff record, which were documented on the LIC 859. Staff present had proof against TB, measles, pertussis, and influenza, as well as current Mandated reporter.

2:30PM There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Pediatric CPR & First Aid is documented for staff who have it and is current for the Director & Assistant Director, both Exp. 10/21/2022

Medication: 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

Children's roster was reviewed and is current and number of total enrolled at this time was documented. Sign-In and Sign-Out sheets were reviewed. Children present were signed in correctly and accounted for on this date. Disaster drill log was available and posted visibly for all to see. The last drill was conducted on 12/20/2021.

First Aid supplies were observed in the classroom in a cabinet. According to Staff, medication is only administered to a child when accompanied with a doctor's note and is stored in the classroom.

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SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: MONROVIA UNIFIED SCHOOL DISTRICT-PRESCHOOL CENTER
FACILITY NUMBER: 191596484
VISIT DATE: 02/09/2022
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Update: Effects of Lead Exposure and the following Provider Information Notices (PINs) Required Lead Testing: PIN 20-01 CCP Effects of Lead Exposure, and Guardian User Account Access - PIN 20-20-CCLD. were discussed.

Helpful Resources:

Access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. Reporting Unusual Incidents: MPROIncidentReports@dss.ca.gov. CCL Resources for Parents & Providers: https://ccld.childcarevideos.org/ Provider Information Notices (PINs): https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a child care facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.



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.

There were no deficiencies cited during today’s inspection.

5 PM Exit interview conducted and report was reviewed with Tom McFadden Director.

A notice of site visit was given and must remain posted for 30 days. Consultation was conducted on this date.

END OF REPORT: PAGE 4 OF 4

SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: MONROVIA UNIFIED SCHOOL DISTRICT-PRESCHOOL CENTER
FACILITY NUMBER: 191596484
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.2(e)
Outdoor Activity Space
(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPAs observation, the licensee did not comply with the section cited above in 2 issues which poses/posed a potential health, safety or personal rights risk to persons in care. Regarding the wood chips, paint the curb around play structure and gate.
POC Due Date: 02/25/2022
Plan of Correction
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Director states will add more wood chips to ensure no tripping hazard with the felt/tarp pertruding from under the wood chips. Director states will paint a yellow highlite around the large aparatus. Director will come up with a plan and considering to close the gate by Almond Street and will submit in writing.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:
DATE: 02/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/09/2022
LIC809 (FAS) - (06/04)
Page: 5 of 5