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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670880
Report Date: 03/27/2023
Date Signed: 03/27/2023 01:25:51 PM


Document Has Been Signed on 03/27/2023 01:25 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:ASI, INC. CSUDH CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191670880
ADMINISTRATOR:CANDACE MANANSALAFACILITY TYPE:
850
ADDRESS:1000 E VICTORIATELEPHONE:
(310) 243-1015
CITY:CARSONSTATE: CAZIP CODE:
90747
CAPACITY:65CENSUS: DATE:
03/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Director Candace Manansala TIME COMPLETED:
01:30 PM
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On 3/27/23 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced required 1 year inspection. LPA met with Director Candace Manansala who guided analyst on a tour of the facility. This is a preschool program with a toddler component. The preschool program consists of three classrooms and the toddler component consists of three classrooms. The facility operates from Monday through Thursday 7:30AM to 5:30PM and Fridays 7:30Am to 3:00PM. There were no children present during today's inspection due to the scheduled Spring Break. All staff present have a valid criminal record clearance and are associated to the facility.

All areas identified on the facility sketch were inspected. The toddler component is physically separate from the preschool program and each component has their own entrance. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. The facility has central air and heating. Children have their own cubby to store their belongings. Children in both programs are provided with cots for napping. Per Director, bedding is provided by the facility and it is laundered at the facility as well. In the toddler component there is one restroom with one toilet, two portable potties, a diaper changing table and two sink. For the preschool program there are three restrooms with a total of 6 toilets and 5 sinks. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed in each restroom.

Availability of indoor drinking water was observed in classrooms via portable water dispensers and disposable cups. The facility completed the lead testing in drinking water on 3/2/23. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Disinfectants and cleaning solutions are stored in locked cabinets in the classrooms. Per Director, medicine is stored in the nurse's station (in the refrigerator if needed). Per Director, none of the children enrolled require medication at the moment. The nurse's station is also used as the isolation area for a child waiting to be picked up and there is a staff restroom for ill children to use next to the nurse's station as well.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:
DATE: 03/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2023
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ASI, INC. CSUDH CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191670880
VISIT DATE: 03/27/2023
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There is an operable carbon monoxide detector in each classroom and the facility is wired with a central fire alarm. Fire extinguishers are available throughout the facility and they were last serviced in August 2022. The outdoor playground areas were evaluated. The toddler component playground is physically separate from the preschool program playground. In both playgrounds, all areas around or under high climbing equipment and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in both playgrounds. Outdoor drinking water is provided via the portable water dispensers and disposable cups. Per Director there are no firearms stored on the premises. There are no pools or bodies of water at the facility.
Children’s Records were reviewed for completeness. LPA also reviewed staff records. Staff records contained LIC 503, LIC 9052, LIC 9108 and verification of education. Staff have completed First Aid/ Child infant CPR certification issued by the American Heart Association. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did have proof against TB, measles, pertussis, and influenza(or flu declination). Director's pediatric first aid/cpr was completed on 3/28/22. Director's mandated reporter for child care provider's training was completed on 2/1/22. Director was reminded pediatric first aid/cpr and mandated reporter shall be renewed every 2 years.
Children's roster is available. Parents sign in via an app and a QR code. Per Director, staff are notified via the app when a child is signed into the center. Disaster drill log was available, last drill was conducted on 3/14/23. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. Menus are posted at least one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. LPA inspected the food preparation area. The facility provides breakfast, lunch and PM snack. First Aid supplies are available in each classroom and throughout the facility.
Director is reminded 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.
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
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023
LIC809 (FAS) - (06/04)
Page: 3 of 6
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: ASI, INC. CSUDH CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191670880
VISIT DATE: 03/27/2023
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LPA informed Director of the importance of checking for recalled devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/tion-process.

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.
No deficiencies were cited during today's inspection.

Exit interview was conducted with Director Candace Manansala. Director was provided a copy of the report and appeal rights (LIC 9058).
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2023
LIC809 (FAS) - (06/04)
Page: 2 of 6