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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192006321
Report Date: 05/16/2023
Date Signed: 05/16/2023 01:24:29 PM


Document Has Been Signed on 05/16/2023 01:24 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:MAOF CHILD CARE CENTER PRESCHOOLFACILITY NUMBER:
192006321
ADMINISTRATOR:MARIA PACHECOFACILITY TYPE:
850
ADDRESS:12440 FIRESTONE BOULEVARDTELEPHONE:
(562) 484-9700
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:75CENSUS: 25DATE:
05/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Site Supervisor Fernando Perez-CornejoTIME COMPLETED:
01:30 PM
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On 5/16/23 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced 1 year Required Annual Inspection. LPA met with Site Supervisor Fernando Perez-Cornejo who provided a tour of the facility. LPA provided the Facility Entrance Checklist to the Site Supervisor. The hours of operation for this program are Monday - Friday 6:30AM to 5:30PM. The facility has 4 classrooms where care is provided. Upon arrival there were 9 children and 2 teachers in Classroom Level 1, 7 children and 2 teachers in Classroom Level 2, 5 children and 2 teachers in Early Head Start (EHS) 3 and 4 children and 2 teachers in EHS 4. Teacher child ratios were observed to be in compliance and staff names recorded.
The following was observed during the tour of the facility: All documents required to be posted were observed. All areas used by children were inspected. All classrooms inspected for cleanliness and good repair. The floors were clean and lighting was in operable condition. There were age appropriate toys and equipment. Each child has their own cubby/storage area. Children nap in the classrooms and there are napping cots available for them to use. Sheets are sent home weekly to be cleaned. There are various door alarms located throughout the facility to alert staff. Water is available in the classrooms via a portable water dispensers and disposable cups. The facility tested for lead in water on 10/14/22 and no exceedance levels were identified. There is one restroom available for children with 5 toilets and 5 sinks. There is also a diaper changing area with a sink at an arms length reach. Potty training is available when needed. The restroom and diaper changing area were observed to be clean and in operable condition. The carbon monoxide and smoke detectors in the facility were observed to be in operable condition. LPA observed a Fire extinguisher which indicated fully charged and was last serviced in April 2023. Last disaster drill was performed in February 2023.
The facility provides a breakfast, lunch and an afternoon snack. Menus are posted weekly. Meals are prepared at this facility. The kitchen/ food preparation area is inaccessible to children in care. LPA inspected the food preparation area and observed it to be clean and in operable condition. All food was observed to be in good quality. LPA toured the outdoor play area. The outdoor play area is separated into to yards: one for the Level 1 and 2 classroom and one for the EHS classrooms. Outdoor areas were observed to have age-appropriate toys and material for children, free of loose, sharp, and/or pointed parts.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:
DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4


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: MAOF CHILD CARE CENTER PRESCHOOL
FACILITY NUMBER: 192006321
VISIT DATE: 05/16/2023
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LPA observed required cushioning under climbing structure to absorb fall. Shade was observed in the outdoor area via trees. Outdoor drinking water is provided. There are no bodies of water on the premises.
The isolation area is located in the Site Supervisor's office. Ill children may use the children's restroom which is then sanitized after use. The facility administers prescription medication. Medication is stored in the Site Supervisor's office. Per Site Supervisor, none of the children enrolled require medication at this time. Cleaning supplies were observed to be inaccessible in the classrooms. Children's sign in sheets were reviewed. LPA observed the children present today were signed in. Children's records reviewed contained the required forms.
Staff records were reviewed. There is at least one staff present with a valid pediatric CPR/first aid certification during this visit. 1 out of 10 staff records reviewed did not contain LIC 503 and the Mandated reporter training for child care providers certificate. All other staff records contained the required items.
Director was 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
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.
No deficiencies are cited during today's visit.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Site Supervisor Fernando Perez-Cornejo.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023
LIC809 (FAS) - (06/04)
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