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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191598992
Report Date: 09/26/2019
Date Signed: 09/26/2019 02:57:23 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:KATHY KREDEL NURSERY SCHOOLFACILITY NUMBER:
191598992
ADMINISTRATOR:GWEN BLACKMONFACILITY TYPE:
830
ADDRESS:300 W. HUNTINGTON DRIVETELEPHONE:
(626) 574-3524
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY:55CENSUS: 17DATE:
09/26/2019
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Gwen BlackmonTIME COMPLETED:
03:15 PM
NARRATIVE
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An unannounced annual/required inspection was conducted on this date by Licensing Program Analysts (LPAs) Ariel Cazares and Roxana Lopez. LPAs met with Director Gwen Blackmon who guided analysts on a tour of the facility. There were a total of 17 children and 7 staff.

The infant program is located on the same site as a the preschool component #191501974. The facility’s hours of operation are Monday through Friday, 6:30am-6:30pm. The infant program consists of 6 classrooms: Infant #1-2, Toddler Blue, Toddler Purple, and Green room. There are 2 playgrounds designated for the infant program.

LPAs inspected the classrooms. Each classroom is equipped with a changing table nearby a sink. Children's have personal storage space for their belongings, which are properly labeled. A menu is posted in classrooms for children eating solid foods. Water is available in form of water jugs and sippy cups or bottles. Infant formula is available and Infant Needs and Service plans were reviewed on file. Counter tops were clean and free of clutter or standing food. Cleaning compounds are inaccessible to children.

Outdoor equipment was inspected for safety, cushioning material, good repair and appropriateness. Play area was inspected for hazards and inaccessibility to bodies of water. Drinking water is brought out in pitchers and children's personal cups are used. There is an adequate shaded and rest area.

The facility has a kitchen where snacks are stored and prepared for the children. The hospital caters the children's lunches. The kitchen was inspected and observed to be clean, orderly, and sufficient storage for supplies.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
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: KATHY KREDEL NURSERY SCHOOL
FACILITY NUMBER: 191598992
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/27/2019
Section Cited

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Limitations on Capacity and Ambulatory Status

A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
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This requirement has not been met as evidenced by LPAs review of children's roster determining that 2 children enrolled in the infant program have reached the age of 2 and are considered preschool children. This poses an immediate risk to the health and safety of children in care.
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2019
LIC809 (FAS) - (06/04)
Page: 4 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: KATHY KREDEL NURSERY SCHOOL
FACILITY NUMBER: 191598992
VISIT DATE: 09/26/2019
NARRATIVE
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Teacher child ratios were observed to be in compliance and staff names were recorded. Care and supervision was evaluated to determine if the basic needs of infants are met and are appropriate.

Staff and Children’s Records were reviewed for completeness including but not limited to Criminal Records Clearance for adults, qualifications and verification of CPR/First Aid. Staff files did not have proof of immunizations and health screening. Sign in and out sheets were reviewed. Upon review of class rosters, LPA observed that the Toddler Purple room has two children enrolled who are the age of 2. These children are determined to be of preschool-age.

LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space. A copy of Safe Sleep Concepts were provided at this inspection.

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

See attached deficiencies page for citations in accordance with Title 22 California Code of Regulations. Exit interview conducted with Director Gwen Blackmon. A copy of this report and appeal rights were provided and explained. Notice of Site Visit must be posted for (30) days. Failure to do so may result in a $100.00 civil penalty.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
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: KATHY KREDEL NURSERY SCHOOL
FACILITY NUMBER: 191598992
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/03/2019
Section Cited

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Personnel Records
The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:
A health screening as specified in Section 101216(g).
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This requirement has not been met as evidenced by LPAs review of staff files. Staff #1-4 are missing the health screening on file. This poses a potential risk to the health and safety of children in care.
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Type B
10/03/2019
Section Cited

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The day care center shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person’s personnel record that is maintained by the day care center.
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This requirement has not been met as evidenced by staff file review.Staff #1-4 do not have complete immunization records on file. This poses a potential risk to the health and safety of children in care.
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4