191890481-5-24-2019-30-CC-MSIN-BCGRQ7-20190524131305

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191890481
Report Date: 05/24/2019
Date Signed: 05/24/2019 01:13:15 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	PACOIMA EARLY EDUCATION CENTER		FACILITY NUMBER:	191890481
ADMINISTRATOR:	SUSAN HAN		FACILITY TYPE:	850
ADDRESS:	11059 HERRICK ST.		TELEPHONE:	(818) 896-3722
CITY:	PACOIMA	STATE: CA	ZIP CODE:	91331
CAPACITY:	115	CENSUS: 77	DATE:	05/24/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Mojgan Farnad		TIME COMPLETED:	11:30 AM

NARRATIVE

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Margarit Sislyan, Licensing Program Analyst (LPA) met with Mojgan Farnad, Head Teacher for random visit. LPA Sislyan toured the facility on 5/24/19 at 10:30 AM. All identified rooms per facility sketch were inspected, and the following was observed. Review of the sign in/out sheet was conducted to verify the current census of children. Currently there are 77 children and 18 teachers present. Facility is operating within capacity limitations. Classrooms were found to be clean and free from any potential hazards. A record of teacher’s names was checked against current facility roster. Staff is currently associated to the facility. Furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation. Drinking water is readily available in each classroom. The bathroom areas were inspected. Toilets and sinks are reachable by the children in care. The bathrooms have adequate toilet paper and paper towels available. The bathrooms were found to be clean. There is adequate lighting/ventilation in the bathrooms. School provides breakfast lunch and snacks for the children in care. The menus were posted.

Inspection of the outdoor play area was conducted. There is adequate shade for the children in care. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc.

The following were discussed:

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: Sharon Greene	TELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (310) 337-4346
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: PACOIMA EARLY EDUCATION CENTER	FACILITY NUMBER: 191890481
	VISIT DATE: 05/24/2019

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Senate Bill 792: This bill, commencing September 1, 2016, prohibits a person from being employed or volunteering at a child care facility or family day care if he or she has not been immunized against influenza, pertussis and measles.

New Immunization Requirement: Law enacted by SB 277, beginning January 1, 2016, personal beliefs exemptions will no longer be an option for the vaccines that are currently required for entry into child care or school in California. Personal beliefs exemptions already on file will remain valid until the child reaches the next immunization checkpoint.

Assembly Bill 1207 amended Penal Code Section 11165.7 and amended Health and Safety Code Section 1596.866 and added Health and Safety Code Section 1596.8662.
Beginning on January 1, 2018, this law requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training.
This training requirement may be directly met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/ and are provided in English and Spanish. If no training is made available in a required person’s primary language, then those persons shall be exempt from this requirement.

For additional information and forms visit our website at: www.ccld.ca.gov

Exit interview

SUPERVISOR'S NAME: Sharon Greene	TELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (310) 337-4346
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019

LIC809 (FAS) - (06/04)

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