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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670880
Report Date: 10/12/2022
Date Signed: 10/12/2022 03:49:51 PM


Document Has Been Signed on 10/12/2022 03:49 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 CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:CSUDH CHILDRENS CENTERFACILITY NUMBER:
191670880
ADMINISTRATOR:MICHELLE JOHNSONFACILITY TYPE:
850
ADDRESS:1000 E VICTORIATELEPHONE:
(310) 243-1015
CITY:CARSONSTATE: CAZIP CODE:
90747
CAPACITY:50CENSUS: 32DATE:
10/12/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Candace Manansala, DirectorTIME COMPLETED:
04:03 PM
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On Wednesday, October 12, 2022 at 10:32 a.m. Licensing Program Analyst (LPA) Mayra Rivera conducted a case management capacity increase inspection and met with Director Candance Manansala who guided LPA Rivera on a tour of the facility. The facility is requesting to add toddler component to the preschool license.

This preschool program with toddler component will be serving children ages 18 months to 5 years. This program operates Monday-Thursday 7:30 a.m. - 5:30 p.m. and Friday 7:30 a.m.-3:00 p.m. Sign in/out and health checks screenings take place in main entrance. All areas identified on the facility sketch were toured both indoors and outdoors; measurements were taken. The director is seeking to increase capacity by adding 15 toddlers and rooms 130, 137, and 136 (previous infant center). A fire clearance has been granted as of


10/04/2022 for 15 toddlers and 50 preschool children. Per fire inspector, toddler building not to exceed 49 occupants at any time.

At approximately 10:45 a.m. LPA entered the toddler area to conduct and inspection and measurements. LPA entered classroom 130. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed the cleaning/hazard supplies stored inside the high cabinet above the sink with a child proof lock making it inaccessible for children to reach or open. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 11:07 a.m., LPA entered classroom 137 and LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed the cleaning/hazard supplies stored inside the high cabinet with a child proof lock making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:
DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/12/2022
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: CSUDH CHILDRENS CENTER
FACILITY NUMBER: 191670880
VISIT DATE: 10/12/2022
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At approximately 11:14 a.m., LPA entered classroom 136 and LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed the cleaning/hazard supplies stored inside the high cabinet with a child proof lock making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 11:26 a.m., LPA Rivera observed the restroom to be in good condition with working toilet, and sinks. LPA observed hand soap dispenser with soap and the paper towel dispenser with paper towels. LPA observed a total of 1 toilet, 3 training toilets, 1 diapering table and 2 sinks. Diapering table is arm’s reach to the sink and maintained in good repair and safe condition. Ill/isolation area, children will utilize the staff restroom located in the main entrance hallway.

Heating lighting and ventilation were evaluated by LPA Rivera. LPA observed central AC/heater and vents located on the ceiling walls in classrooms 130, 137, 136, hallway/office and restroom. The thermostats are in classroom 130, 136 and hallway. LPA observed the thermostat in room 130 to be at 73 degrees, in room 136 to be at 71 degrees and hallway to be at 71 degrees.

LPA observed 4 fire extinguishers. The fire extinguishers are located in classroom 130, kitchen, teacher lounge, hallway and main entrance. LPA observed the valve on the required 2A10BC fire extinguisher indicating fully charged and serviced on 09/30/2022. LPA Rivera did not test the alarms as they are wired to the pull-down fire alarm system. Each classroom is equipped with and emergency kit including first aid kits with bandages, adhesives, gauzes and roller bandages

For napping equipment, LPA observed cots. The cots are stored in the classrooms. For ill/isolation area children will utilize the nurse's office and a mat or a cot is available for children use to rest if needed.

At approximately 11:45 a.m., LPA Rivera entered the outdoor playground to conduct an inspection and measurements. LPA observed the yard to be fenced all around, gate closed with a chain lock/padlock. LPA observed the playground structure to be age appropriate, in good condition, free of sharp and no loose or pointed parts. LPA observed a shed and the shed is utilized to store playground equipment. LPA did not observe soft cushion material that absorbs a fall. LPA observed construction materials due to yard currently under construction. LPA asked for an estimated date of when the playground will be completed and ready for children to utilize. Per director the plan is to have the playground completed by October 20, 2022.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022
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: CSUDH CHILDRENS CENTER
FACILITY NUMBER: 191670880
VISIT DATE: 10/12/2022
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LPA observed one sail triangle for shade and observed 3 post with no sail triangle which is part of the construction. LPA Rivera observed a trash bin with a tight-fitting lid. For outdoor water drinking, water pitchers and disposable cups will be available for children.

At approximately 12:05 p.m., LPA Rivera entered the preschool area to conduct an inspection. LPA observed a total of 32 preschool children outside having lunch. At approximately 12:13 p.m., LPA entered classroom 116 and LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed the cleaning/hazard supplies stored inside the high cabinet with a child proof lock making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 12:18 p.m., LPA entered classroom 114 and observe age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed the cleaning/hazard supplies stored inside the high cabinet with a child proof lock making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

At approximately 12:23 p.m., LPA entered classroom 110 and observe age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed the cleaning/hazard supplies stored inside the high cabinet with a child proof lock making it inaccessible for children to reach. LPA Rivera observed a step trash bin with a tight-fitting lid.

Heating lighting and ventilation were evaluated by LPA Rivera. LPA observed central AC/heater and vents located on the ceiling walls in classrooms 110, 114, 116, general office, kitchen and hallway. The thermostats are located in the general office, and classroom 114. LPA observed the thermostat in the general office to be at 72 degrees and the one in classroom 114 to be at 73 degrees.

LPA observed 5 fire extinguishers. The fire extinguishers are located in classrooms 110, 114, 116 , general office and kitchen. LPA observed the valve on the required 2A10BC fire extinguisher indicating fully charged and serviced on 09/30/2022. LPA Rivera did not test the alarms as they are wired to the pull-down fire alarm system. Each classroom is equipped with and emergency kit including first aid kits with bandages, adhesives, gauzes and roller bandages

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: CSUDH CHILDRENS CENTER
FACILITY NUMBER: 191670880
VISIT DATE: 10/12/2022
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For napping equipment, LPA observed cots and mats. The cots and mats are stored in the classrooms. For ill/isolation area children utilize the nurse office and a is available for children to use to rest if needed.

At approximately 12.31 p.m., LPA Rivera observed the restrooms to be in good condition with working toilets, and sinks. LPA observed hand soap dispensers with soap and the paper towel dispenser with paper towels. LPA observed a total of 7 toilets, and 5 sinks. Ill/isolation area, children utilize the staff restroom located general office.

At approximately 12:47 p.m., LPA Rivera entered the outdoor preschool playground to conduct an inspection. LPA observed the surface of the outdoor activity space maintained in a safe condition and is free of hazards. LPA observed the yard to be fenced all around, 3 gates closed with a chain lock/padlock. LPA observed the playground structure and play materials to be age appropriate, in good condition, free of sharp and no loose or pointed parts. LPA observed underneath the playground structure cushioned with granulated rubber and absorbs a fall. LPA observed a shed and the shed is utilized to store playground equipment. LPA observed a trash bin with a tight-fitting lid. For outdoor water drinking, water pitchers and disposable cups are be available for children. For adequate shade, LPA observed 5 sail triangles.

The program provides breakfast, lunch, p.m. snacks. The meals are prepared on site. For water drinking, LPA observed water pitchers and water disposable cups in each classroom including the toddlers. LPA observed the food preparation area to be clean and free of litter, rubbish, rodents, and/or any other vermin. LPA observed storage containers for solid waste, including moveable bins with tight-fitting covers that are kept on, and in good repair. LPA advised any food or solid waste need to be stored in a container with tight-fitting lid cover. The facility was observed to be free of flies, other insects and rodents.

LPA observed the required postings LIC 610 Emergency Disaster Plan, LIC 613A Personal Rights, LIC 308 Designation Facility, LIC 9148 Earthquake Check List, PUB 269 California Child Passenger Safety Law, and PUB 393 Notification of Parents' Rights.

Director Candace Manansala has the pediatric First Aid/CPR certification dated 3/28/22, Health and Safety (8 hours) dated 5/1/22 , Child abused mandated certification (AB 1207) dated 2/1/22 and immunization against pertussis, and measles, and influenza. Director has been informed mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: CSUDH CHILDRENS CENTER
FACILITY NUMBER: 191670880
VISIT DATE: 10/12/2022
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The facility administers medication. Procedure in place is the medication is stored in the nurse’s office. Currently the facility has no children with or on medication.

Incidental Medical Services (IMS)


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

Criminal Record Statement


Director Candace Manansala was informed that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Based on today's inspection, measurements and availably of toilet (1) and sinks (3) the facility can accommodate the requested capacity increase of 15 toddlers.

Plans of correction:
OUTDOOR: Complete the playground construction. Director has been given 30 days (due date November 14, 2022).

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted, report and plans of corrections were reviewed with director Candace Manansala.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022
LIC809 (FAS) - (06/04)
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