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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191598412
Report Date: 06/10/2021
Date Signed: 06/10/2021 01:39:18 PM

COMPREHENSIVE INSPECTION
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, THEFACILITY NUMBER:
191598412
ADMINISTRATOR:TAMERA PINELOFACILITY TYPE:
830
ADDRESS:1955 FREMONT AVETELEPHONE:
(323) 341-7768
CITY:S. PASADENASTATE: CAZIP CODE:
91030
CAPACITY:27CENSUS: DATE:
06/10/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director Tamera PineloTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Bardo Baluyot conducted an unannounced required annual inspection. Upon arrival, LPA met with Director, Tamera Pinelo. LPA was guided on a tour of the facility including both indoor and outdoor areas. This is an infant program licensed for (27) infants (ages 0-2 years of age). During the tour, LPA observed that there was a preschool program (191594162) located on the premises that is physically separate from the infant center both indoors and outdoors.

This Infant program consists of 2 classrooms (Classroom K and Classroom 12). All children were observed by LPA to be under visual supervision of a teacher at all times. LPA observed 24 children during the inspection. Director informed LPA that they were advised by CDPH to retain stable groups after re-opening so six of the kids are currently beyond 24 months old and will be transitioned out by 6/14/2021. LPA consulted with LPM Chico and was advised to provide a technical violation. Cribs and napping equipment were observed in the classrooms. LPA observed one child napping in a crib. Per Director, Parents provide 2 sets of linen and bedding which are taken home weekly to be washed. The center has additional sets in order to provide clean bedding daily. Per Director, all food is provided by parents and were observed to be properly labelled. Sign in and out sheets were reviewed. At this time, the office is used as an isolation area.

Furniture and equipment were inspected for age appropriateness. All changing tables and feeding chairs are clean and in operational condition. There is a sink with hot water within arm’s reach of each of the changing table located in each classroom. Indoor classroom was inspected to ensure that the floors have a surface that is safe and clean. Infants used personal drinking bottles for water and were observed to be properly labelled.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2021
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: 191598412
VISIT DATE: 06/10/2021
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This facility already offers Incidental Medical Services (IMS) to children that require it. Policy for IMS services already on file per Director. Staff records were reviewed to ensure that Infant teachers present are qualified with Criminal Records Clearance and verification of CPR/First Aid. Children’s Records were reviewed to ensure that Identification and Emergency forms and a Needs and Services Plan are 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: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo BaluyotTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 06/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2021
LIC809 (FAS) - (06/04)
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