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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191598774
Report Date: 05/24/2019
Date Signed: 05/24/2019 02:44:07 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:VALENCIA ELEMENTARY SCHOOLFACILITY NUMBER:
191598774
ADMINISTRATOR:GUTIERREZ, AMALIAFACILITY TYPE:
850
ADDRESS:9241 E COSGROVE ST. PRESCH. RMTELEPHONE:
(562) 942-2227
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:24CENSUS: 6DATE:
05/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Guadalupe Koehler, TeacherTIME COMPLETED:
03:00 PM
NARRATIVE
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An unannounced Annual Random Inspection was conducted on this day by Licensing Program Analyst (LPA) Jacqueline Martinez. Facility is currently licensed for a capacity of 24 children. LPA met with Guadalupe Koehler, Teacher, who guided analyst on a tour of the facility. This is a State preschool program which is operated by El Rancho Unified School District and is located on the premises of Valencia Elementary School. The program consists of a part-time day program in one room. The AM session operates from 9:00am to 12:00pm and the PM session operates from 1:00pm to 4:00pm, Monday through Friday.

LPA arrived during the PM Session. The indoors and outdoors of the facility were inspected. LPA observed 6 children with 3 Staff Members. Teacher child ratios were observed and staff names recorded.

Furniture and equipment was inspected for age appropriateness, good repair and free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated Storage for children's belongings and isolation area were inspected. LPA advised that children jackets and sweaters should not be in contact with one another because this is one of the ways that lice spreads. The Ill isolation area is in the quiet area of the room. Drinking water is readily available indoors for children to drink freely via a water fountain..

Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. First Aid supplies were reviewed and inventoried. LPA observed a smoke detector however, LPA did not observe a carbon monoxide detector. Custodial Supervisor, Rey Tapia arrived to locate the carbon monoxide detector. No detector was found during this inspection. A Type B deficiency is being cited on the LIC-809 -D page.

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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
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 4
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: VALENCIA ELEMENTARY SCHOOL
FACILITY NUMBER: 191598774
VISIT DATE: 05/24/2019
NARRATIVE
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Snacks are provided by the School District Cafeteria. The facility provides snacks to the AM and PM Session. Food menus were posted in a place that is visible by the child’s authorized representative. All storage containers for solid waste, including moveable bins had tight-fitting covers that are kept on, and in good repair. The floors were inspected, LPA observed corner areas of the room that had cob webs and were unkept. This poses a potential health risk to the children in care. A Type B citation is being cited on the LIC 809-D page. The facility shall be clean and safe for the children in care. Disinfectants, cleaning solutions, medications and other items that are dangerous to children, were inaccessible.

This facility shares the yard with the Kindergarten class. LPA will review the facility file for a play ground waiver. The facility may need a play ground waiver to share the yard with Kindergarten. The children do not go out at the same time. The outdoor play equipment was inspected for safety, free of sharp, loose pointed parts, good repair and age appropriateness. The surface of the outdoor activity area was observed to be maintained in a safe condition, and free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. Required shade, drinking water and fencing were inspected. Drinking water was available outdoors for children to drink freely via a water fountain. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards were observed.

Children's complete records were not reviewed during this inspection. A sampling of children’s emergency information was reviewed. Staff files were not reviewed as staff files are kept at the Main Office and will be reviewed at a later date. If there are any deficiencies during that review, this report may be amended. All staff is fingerprint cleared, as a condition of employment through the school district. Staff #1 and Staff #2 provided proof of current Pediatric First Aid and CPR certification. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence was posted on the wall.

Incidental Medical Services (IMS). Incidental Medical Services (IMS) policy was discussed. The facility is not providing any IMS Services during this inspection. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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. PAGE 2 OF 4
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: VALENCIA ELEMENTARY SCHOOL
FACILITY NUMBER: 191598774
VISIT DATE: 05/24/2019
NARRATIVE
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AB1207: The following is a reminder: As of January 1, 2018, Health & Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. New employees shall have 90 days from date of employment to complete training as required. The training may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules at: http://www.mandatedreporterca.com/.

Deficiencies The following deficiencies listed on the attached deficiency page are being cited and need to be cleared to protect the children’s health & safety.



An exit interview was conducted with Guadalupe Koehler, Teacher. A copy of this report and Notice of Site Visit was provided. Appeal rights were issued and discussed.


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.

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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: VALENCIA ELEMENTARY SCHOOL
FACILITY NUMBER: 191598774
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2019
Section Cited
CCR
101238(a)
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Buildings and Grounds: The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
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Teacher states the preschool room will be deep cleaned. Proof of the cleaning will be submited by due date.
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The regulation was not met as evidence of the following: The floors were inspected, LPA observed that the corners of the room had cob webs and were unkept. This poses a potential health risk to the children in care.
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Type B
06/14/2019
Section Cited
HSC
1596.954
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Carbon monoxide detectors required; inspection: Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8. The department shall account for the presence of these detectors during inspections.
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Teacher states that a carbon monoxide unit will be installed. Proof of the carbon monoxide installed in the preschool room will be submitted by due date.
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The regulation was not met as evidence of the following: LPA did not observe a carbon monoxide detector. Custodial Supervisor, Rey Tapia arrived to locate the carbon monoxide detector. No detector was found during this inspection. This poses a potential safey.
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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: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4