191598098-9-9-2022-54-CC-AMOY-CJ4PT3-20220909113517

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191598098
Report Date: 09/09/2022
Date Signed: 09/09/2022 11:35:40 AM

Document Has Been Signed on 09/09/2022 11:35 AM - 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:	SUVA ELEMENTARY SCHOOL		FACILITY NUMBER:	191598098
ADMINISTRATOR:	MARIANA SANCHEZ		FACILITY TYPE:	850
ADDRESS:	6740 EAST SUVA STREET		TELEPHONE:	(562) 927-1827
CITY:	BELL GARDENS	STATE: CA	ZIP CODE:	90201
CAPACITY:	40	CENSUS: 26	DATE:	09/09/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Vanessa Guzman, Education Specialist		TIME COMPLETED:	11:45 AM

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Licensing Program Analysts (LPAs) Alicia Mooberry and Austin Estrada conducted a required 1 year inspection to the above facility on 9/9/22. LPAs arrived at the facility at 9:15am, identified self to school secretary who lead staff to Head Start classroom. LPAs met with Ana Navarro, Teacher, LPAs tour the facility. LPA provided Teacher with a copy of the LIC 125 Entrance Checklist to help facilitate the inspection. This is a preschool program which consists of 3 sessions and 2 classrooms; Room O-1 (Full day) hours of operation 8:15-2:15. Room O-2 has an AM session ( 8:15-11:45) and PM session (12:15-3:45pm). Vanessa Guzman, Education Specialist arrived at the facility during this inspection.

All areas identified on the Facility Sketch were inspected. Upon arrival, the following staff were present: Room O-01 Staff #2, and #5 with 13 preschoolers; Room O-02: Staff #1, #3 and #4 with 13 preschoolers. The facility was observed to be within the license capacity and limitations. The following was observed during the tour of the facility:

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Linens are washed weekly by the facility, the blankets are washed by parents on a weekly basis. Napping equipment (cots) were observed in a storage area labeled with children’s names. Per Lead Teacher, the isolation is located in the office area between classrooms.

Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms.

Per Lead Teacher, there are no poisons stored at the facility. A carbon monoxide detector was observed and tested to ensure that it is operable.

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SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2022

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SUVA ELEMENTARY SCHOOL	FACILITY NUMBER: 191598098
	VISIT DATE: 09/09/2022

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The facility receives all food and meals from the adjoining elementary school. Children receive breakfast, lunch and snack. The facility has a sink and refrigerator available for medication and other items. All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept outside and in good repair. LPA advised Teacher to ensure the lids to containers with solid waste are always kept on.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is 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. Availability of outdoor drinking water was observed via water container and disposable cups. LPA advised that no children shall be left without the supervision of a teacher at any time. There are no pools or bodies of water at the facility.

All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic-free There are no firearms stored on the premises.

All staff and employees have obtained a criminal record clearance or criminal record exemption through the Montebello Unified School District. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children records were reviewed and documented on the LIC 857.

LPA also reviewed staff records including proof of Pediatric First Aid/CPR and ma. LPA did not review staff records and confidential or medical information during the inspection due to the staff files being stored at the administrative office. LPA will review files at a later date and will check for compliance.

Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed on the sign in APP. Children present were signed in. Lead teacher was advised that a sign in sheet shall be kept for one month and shall be available at the center for review by the Department.

Disaster drill log was available, last drill was conducted on 8/31/22.

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SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: SUVA ELEMENTARY SCHOOL	FACILITY NUMBER: 191598098
	VISIT DATE: 09/09/2022

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Menus were observed to be posted. First Aid supplies were observed in the classroom. There are no children currently receiving medication at this facility.

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 advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

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.

There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Vanessa Guzman, Education Specialist

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2022

LIC809 (FAS) - (06/04)

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