191597458-10-15-2019-33-CC-JHUA-BGYNWH-20191015104934

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191597458
Report Date: 10/15/2019
Date Signed: 10/15/2019 10:49:40 AM

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:	HACIENDA LA PUENTE PRESCHOOL (LASSALETTE)		FACILITY NUMBER:	191597458
ADMINISTRATOR:	TERRI TORRES		FACILITY TYPE:	850
ADDRESS:	14333 LASSALETTE		TELEPHONE:	(626) 933-1470
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	26	CENSUS: 17	DATE:	10/15/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:52 AM
MET WITH:	Sandra Tapia		TIME COMPLETED:	11:00 AM

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 Analyst (LPA) Jennifer Hua met with Site Supervisor, Sandra Tapia for the purpose of a Health and Safety inspection. Per school district policy, there are no weapons or firearms stored on the premises. Facility operates on the west end of Lassalette Elementary School from 8AM - 2PM. Visitors must enter the campus through the school office. Classroom is equipped with age appropriate furniture, fixtures, equipment, and supplies. There are areas offering a variety of activities for the children to develop and master educational skills and activities of daily living. Restroom is clean, odor free, and well supplied with toilet paper, paper towel, and dispensable soap. Staff visually supervise and are available to children who may require assistance with toileting. Flooring and carpeting are clean. Staff observed interacting with children in their classroom activities and are mindful of children's personal rights. Teacher child ratios are met using Title 5: 1 teacher with 24 children with 1 adult for 8 children. On this visit the teacher and her assistant were with 17 children. Sign in /out sheets reflect the number of children in care and census is within the licensed capacity of 26 children. Parents use full signature when signing children in or out. Disinfectants are stored under the sink in the kitchen. Cabinet doors are chained with lock and key. First aid kit is kept in an overhead cabinet in the teacher's office. Medications are also kept in the overhead cabinet in teacher office and is under lock and key.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
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)

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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: HACIENDA LA PUENTE PRESCHOOL (LASSALETTE)	FACILITY NUMBER: 191597458
	VISIT DATE: 10/15/2019

NARRATIVE

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There is a Carbon Monoxide detector in the classroom. Water fixture on sink outside children's restroom is available for children's use.
Meals are brought in from the school cafeteria in containers to ensure freshness. Kitchen has a refrigerator to keep perishable items such as milk. Food waste stored in a trash can with a tight fitting lid.
Head Start uses the Kindergarten play yard under the conditions of a waiver. Walkway and yard are fenced. Staff escort children to and from the yard. Play structure is age appropriate. Balls and other toys are available for play. Water pitcher and disposable cups are brought out making water available to children.

Staff records reviewed and current certification in pediatric CPR and First Aid. Staff have completed the Mandated Reporter Training. Certificate in file. Random sampling of children's files contains emergency information on children. Required forms are posted: License, Personal rights, Parents Rights poster for Centers, Car Seat Law, and Emergency Disaster Plan and menus.

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 www.ada.gov/childqanda.html.

No deficiencies observed.

Exit interview conducted with Ms. Tapia. Copy of report given. Notice of site visit posted on classroom door used by parents to drop off or pick up children. Forms and updates to regulations may be found on the Department website: www.ccld.ca.gov

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
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)

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