191599890-8-25-2023-33-CC-CTUA-CV2SGV-20230825135230

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191599890
Report Date: 08/25/2023
Date Signed: 08/25/2023 01:52:41 PM

Document Has Been Signed on 08/25/2023 01:52 PM - 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	NELSON LAUP		FACILITY NUMBER:	191599890
ADMINISTRATOR:	M. GARAY, F. MARTINEZ		FACILITY TYPE:	850
ADDRESS:	330 CALIFORNIA AVE		TELEPHONE:	(626) 933-8439
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	48	CENSUS:	DATE:	08/25/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Melissa Garay/Monica Jarvis/Ryan Martinez		TIME COMPLETED:	02:00 PM

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	On August 25, 2023, Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced required 1-year inspection. A COVID-19 risk assessment was conducted prior to entering the facility. LPA entered facility through the Nelson elementary school’s front office and walked towards the back of the school to enter through a gate into the preschool programs. LPA met with teacher, Melissa Garay and LPA took a census of 7 children and 2 staff in care. The two programs operating are a State preschool age program and Head Start preschool program. The Head Start currently did not have children in care as they are doing home visits. LPA called and spoke to the main office that is located off-site. At approximately 10:30 am Manager, Monica Jarvis and Site Supervisor, Ryan Martinez who oversee the preschool programs met LPA to facilitate the visit. Hours of operation: The days and hours of operation are for Nelson 01: Head Start: Monday-Friday, 8:00 A.M.-2:00 P.M. and State Preschool: Monday-Friday 8:15 AM - 11:15 AM and 12:00 P.M.- 3:30 P.M. Location: There are two portables, Nelson 1 and Nelson 2. The portables are located on the east side of Nelson Elementary. The portables and the playground are surrounded by a chain-link fence, separating it from the rest of the elementary school. Each portable is one large classroom with two restrooms for the children, one staff restroom, a kitchenette, and one office for the staff. The chain-link fence which surrounds the portable are kept locked during operating hours and are only unlocked when children are being dropped off and picked up. The children will enter through one door and exit through the emergency exit door in the back of the portable. To gain access to the school there is a side gate for parents to drop-off and pick-up children. page 1 of 3

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2023

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: NELSON LAUP	FACILITY NUMBER: 191599890
	VISIT DATE: 08/25/2023

NARRATIVE

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All posting requirements were observed on the Parent Boards. In each portable, the Parent Board is located on the wall adjacent to the door through which the children will enter. In Nelson 01, a copy of the monthly menu is posted on the sign-in and out podium. All food is provided by the School District. In Nelson 01, breakfast will be served at 8:05 am, lunch at 11:00 am and P.M. snack at 1:30 pm; in Nelson 02, breakfast will be served at 8:15 am and lunch will be at 12:05pm and P.M. snack at 3:00 pm.

Both portables have a kitchenette area which contains a full-size refrigerator. There is currently one child who requires medication which is currently stored in a locked cupboard up high in the kitchenette area out of reach of children. LPA observed medication not expired and required paperwork was stored with the medication. In both portables, medications which do not require refrigeration will be stored in a cabinet in the kitchenette area which is labeled "Medication" and locked by a chain and padlock which requires a key to open. Both portables have a First Aid Kit in the kitchen cabinet which is labeled with a sign. In both portables, the cleaning supplies are kept in the cabinet under the kitchen sink in the kitchenette; it is locked with a chain and a padlock.

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

There is a carbon monoxide and smoke detectors that are connected to the elementary school and are tested by the school district through-out the year. The last annual maintenance on the Fire Extinguisher was on August 8, 2023.

In each portable, the children's restrooms have four toilets. The 2 child-size sinks are located outside of the restroom and of the kitchenette area. One of the sinks in each portable contains a drinking faucet, though teachers stated that they will use a drinking water filter with individual disposable cups so that the children don't have to use the faucet. The adult restroom will be used by staff.
There is no napping equipment in the State Preschool but in the Head Start program, children nap and

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2023

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: NELSON LAUP	FACILITY NUMBER: 191599890
	VISIT DATE: 08/25/2023

NARRATIVE

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bring napping items from home and are sent back at the end of the week. Napping cots are sanitized each day and located in the classroom.

LPA referred Site Supervsior and Manager to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. LPA provided Site Supervisor and Manager with PIN 21-21.1-CCP for written directives of Lead Testing.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Site Supervisor and Manager were reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Site Supervisor and Manager were informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

The deficiency listed on the following page were observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.

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

Exit interview conducted and report was reviewed with the Site Supervisor, Ryan Martinez.

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SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2023

LIC809 (FAS) - (06/04)

Page: 4 of 4

Document Has Been Signed on 08/25/2023 01:52 PM - It Cannot Be Edited

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: NELSON LAUP	FACILITY NUMBER: 191599890
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/25/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview, the licensee did not comply with the section cited above in facility has not been lead tested since 2019 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/26/2023
	Plan of Correction
1 2 3 4	Per Site Supervisor, facility will test water outlets (Kitchen and water fountain).

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn Tuba	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2023

LIC809 (FAS) - (06/04)

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