191801470-2-6-2020-33-CC-SLEE-BLJUEH-20200206143110

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191801470
Report Date: 02/06/2020
Date Signed: 02/06/2020 02:31:24 PM

COMPREHENSIVE INSPECTION

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:	ORIENTAL MISSION CHURCH NURSERY SCH00L		FACILITY NUMBER:	191801470
ADMINISTRATOR:	NO, HANNAH		FACILITY TYPE:	850
ADDRESS:	424 N. WESTERN AVE.		TELEPHONE:	(323) 466-8046
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90004
CAPACITY:	120	CENSUS: 94	DATE:	02/06/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Hannah No		TIME COMPLETED:	02:45 PM

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Licensing Program Analysts (LPAs) Seung Lee and Alanna Gontarek conducted an unannounced annual random inspection. LPAs met with Hannah No, Director who guided analysts on tour of facility. This is a preschool program which consists of 9 classrooms. The preschool program is located within a church. Parents go through the front door of the church through the worship hall to the preschool.

All areas identified on the Facility Sketch were inspected. The following staff was present during this visit: Sky Class: 2 Teachers with 16 preschoolers. Lemon Class: 1 Teacher with 11 preschoolers. Mint Class: 1 Teachers with12 preschoolers. Rose Class: 1 Teacher with 11 preschoolers. Beige Class: 1 Teacher with 11 preschoolers. Lavender Class: 2 Teacher with 14 preschoolers. Tangerine Class: 1 Teacher with 7 preschoolers; Peach Class: 1 teacher with 12 preschoolers

PHYSICAL PLANT- Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Director (Licensee) states that poisons are locked in an off limits room. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All toilets and hand washing sinks are safe, sanitary and are operating properly. All floors are clean and safe. All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. Drinking water is readily available both indoors and outdoors. The facility was observed to be free of flies, other insects and rodents.

Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. The shade for the outdoor space was temporarily removed due to the recent weather.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2020

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: ORIENTAL MISSION CHURCH NURSERY SCH00L	FACILITY NUMBER: 191801470
	VISIT DATE: 02/06/2020

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FACILITY RECORDS- All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this visit. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence is on file. Educational background, training, and/or experience for each staff present are on file and were reviewed. In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

Snack menus are posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. The facility serves breakfast, lunch, and PM snack.

Incidental Medial Services (IMS). Director stated that prescription and non-prescription medications are administered with a written permission slip with instructions. Medication is stored in an off limits box per classroom. Medications administered can include prescription inhalers and Epi-Pens. Therefore, the facility does not offer Incidental Medial Services (IMS) at this time. LPAs advised the licensee that an amendment to the current plan of operation must be submitted in 30 days prior to enrolling a child with IMS needs. Please refer to Section 101173 and 101226 for further information on regulatory requirements.

LPAs advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. UPDATE: Parent’s Rights Poster (with complaint hotline) was provided to the licensee during this visit.
There were no deficiencies cited during today’s visit.

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. Exit interview was conducted with Hannah No, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2020

LIC809 (FAS) - (06/04)

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