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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192006561
Report Date: 06/21/2024
Date Signed: 06/21/2024 02:43:32 PM

Document Has Been Signed on 06/21/2024 02:43 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ALISO PICO PRESCHOOLFACILITY NUMBER:
192006561
ADMINISTRATOR/
DIRECTOR:		CLAUDIA ARREOLAFACILITY TYPE:
850
ADDRESS:1505 E. 1ST STREETTELEPHONE:
(323) 269-6921
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY: 60TOTAL ENROLLED CHILDREN: 37CENSUS: 16DATE:
06/21/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:10 AM
MET WITH:Carolina Ramon, Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On Friday, June 21, 2024, Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced annual inspection and met with Priscilla Padilla, teacher who informed LPA that new Site Supervisor will not arrive until 9:30am. Teacher Priscilla Padilla guided LPA Perry on a tour of the facility. This is a preschool program serving 60 children ages 2 to 6 years old. At 9:18am Site Supervisor Carolina Ramon arrived. The facility operates Monday – Friday from 6:30 AM – 6:00 PM. Per teacher Priscilla there are 37 children enrolled. There is a waiver on file for the staff files to be reviewed at the administrative office. Waiver was observed to be posted. Census was taken and LPA Perry observed 16 children and 5 staff present supervising the children. At approximately 8:30 AM LPA Perry began facility tour. All areas identified on the facility sketch were inspected. The facility is within the conditions, limitations, and capacity specified on the license. Teacher-child ratios were observed to be in accordance with Title 22 regulations. All children were observed to be under visual supervision of a teacher. Facility shares building with Worksource company.

At approximately 8:30 am, LPA Perry entered Classroom B and observed 16 children with 5 staff preparing for breakfast. LPA observed the classroom to have an open concept with no dividers dividing the 2 classrooms. Per teacher Pricilla teachers maintain supervision to make sure children don’t mix classrooms. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts. LPA Perry did observe age-appropriate toys accessible to children. LPA observed a cubby for children to store their personal belongings. LPA did observe trash can to have a lid. LPA did observe a bleach gallon near the file cabinet making it accessible to the children, which poses a risk to the health and safety of the children in care. LPA had teacher Anahi place it in a high cabinet located in the kitchen.

At approximately 8:40 am, LPA Perry entered Classroom A and observed 0 children with 0 staff. LPA observed the classroom to have an open concept with no dividers dividing the 2 classrooms. Per teacher
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2024
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 13
Document Has Been Signed on 06/21/2024 02:43 PM - It Cannot Be Edited


Created By: Staicy Perry On 06/21/2024 at 12:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALISO PICO PRESCHOOL
FACILITY NUMBER: 192006561

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the facility did not comply with the section cited above in, LPA observed an 8in blue bucket of water filled to the top. Per teacher Pricilla that has always been there because the teachers use that water outlet to get water but is aware that water outlet is leaking which poses an immediate danger to the health and safety of the children. LPA obtained video and photos. LPA also observed classroom doors that lead to public area to be accessiable to children and the push latch to be at childs level which gives children easy access to public. Main entrance and exit door does not conatain an alram and the push handle is placed at childs level. Exit door that leads to public access is easliy accessiable to children with the turn of the knob, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/26/2024
Plan of Correction
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Per site supervisor Carolina a work order will be placed today 6/21/2024 to have outside water outlet leak fixed. Site Supervisor will cointact maintenance prior to LPA's completion of inspection. Site supervisor will have alarms plaed on all doors, loud enough for staff to hear. Site Supervisor will block area that leads to leaking water outlet until water outlet is fixed. Site supersior will sign declaration. LPA Perry did observe site supervisor place a workorder via telephone at 12:12pm on 6/21/2024. Site supervisor will place an order for alarms for all doors in the facility and provide LPA with receipt of purchase of alarms and photo and video once complete to LPA via email by POC date.
Type A
Section Cited
CCR
101223(a)(2)
Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, the facility did not comply with the section cited above in not maintaining a safe environment for the children in the outdoor play area. LPA did observe a body of water in the outside play yard which is accessible to the children. LPA observed an 8 inch blue bucket of water filled to the top, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/24/2024
Plan of Correction
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Site Supervisor will block area that leads to leaking water outlet until water outlet is fixed. Site supersior will sign declaration. LPA Perry did observe site supervisor place a workorder via telephone at 12:12pm on 6/21/2024. Site Supervisor informed LPA maintaince will be at facility in 30 minutes to fix leaking water outlet outside. Once fixed, site supervisor will provide LPA Perry with photos and video of completion by POC date via email.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Claudia Guangorena
LICENSING EVALUATOR NAME:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2024


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Page: 2 of 13
Document Has Been Signed on 06/21/2024 02:43 PM - It Cannot Be Edited


Created By: Staicy Perry On 06/21/2024 at 12:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALISO PICO PRESCHOOL
FACILITY NUMBER: 192006561

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8595
Administration of Child Care Licensing
(a)(1) Each licensed child day care facility shall post a copy of any licensing report pertaining to the facility that documents either a facility visit or a complaint investigation that results in a citation for a violation that, if not corrected, will create a direct and immediate risk to the health, safety, or personal rights of children in care. The licensing report provided by the department shall be posted immediately upon receipt, adjacent to the postings required pursuant to Section 1596.817 and on, or immediately adjacent to, the interior side of the main door to the facility and shall remain posted for 30 consecutive days.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations and nterviews, the facility did not comply with the section cited above in not having previous licensing report dated 6/11/2024 which indicates 2 Type A violations posted, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/21/2024
Plan of Correction
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Site supervisor Carolina will post licensing report prior to LPA's completion of today's inspection. LPA did observe licensing reports posted.
Type B
Section Cited
CCR
101238.4(d)
Storage Space
(d) Combustibles, cleaning equipment and cleaning agents shall be stored in an area separate from food supplies in a locked cabinet or in a location inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the facility did not comply with the section cited above, LPA did observed a bleach gallon on the floor near the file cabinet making it accessible tot the children. LPA did observe a chemical, Isopropanol 70% on the floor in the kitchen and Sanidry Disinfecting wipes, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/24/2024
Plan of Correction
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LPA had teacher Anahi place it in a high cabinet located in the kitchen. Per site supervisor all cleaning compunds will be placed in the bottom cabinet by the stove and place a lock on it by POC date. Site supervisor will send photo to LPA Perry via email. Declaration will be signed to ensure that kitchen door is remained closed at all times. Site supervisor will also review with staff that kitchen door must remain closed at all times and provide a sign in and out sheet of all staff who were talked to.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Claudia Guangorena
LICENSING EVALUATOR NAME:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2024


LIC809 (FAS) - (06/04)
Page: 3 of 13
Document Has Been Signed on 06/21/2024 02:43 PM - It Cannot Be Edited


Created By: Staicy Perry On 06/21/2024 at 12:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALISO PICO PRESCHOOL
FACILITY NUMBER: 192006561

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/21/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(o)(1)
Fixtures, Furniture, Equipment and Supplies
(o) Playground equipment shall be securely anchored to the ground unless it is portable by design. (1) Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, the facility did not comply with the section cited above in, play structure to have visible spiders, cobwebs and chipped paint on the play structure. Play yard also has lots of debris, cobwebs, a sandbox that is littered which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/28/2024
Plan of Correction
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Site supervisor will designate a staff memeber to clean outdoor play yard every morning prior to children going outside. Site supervisor will document this on a cleaning inspection log. Site supervisor will provide LPA with 1 weeks log via email to LPA Perry via email by POC date.Per Edith and Lupe power wash of the playground will be conducted and date will be provided to LPA Perry via email.
Type B
Section Cited
CCR
101227(a)(18)
Food Service
(18) All kitchen, food-preparation and storage areas shall be kept clean and free of litter and rubbish; and measures shall be taken to keep all such areas free of rodents and other vermin.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the facility did not comply with the section cited above in, kitchen area where food is prepared not to be clean, sanitary and ceiling to have exposed water damage, along with part of the inside ceiling exposed and hanging down. LPA also observed sink where children’s utensils are washed to have exposed wood, mold, exposed nails and grimy which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/19/2024
Plan of Correction
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Per site supervisor, we will be to replace kitchen cabinets and sink area and fix the kitchen ceiling by POC date. Photos will be sent to LPA via email. Per site supervisor LPA will be in formed of the processs via email until work has been completed y POC date to LPA Perry.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Claudia Guangorena
LICENSING EVALUATOR NAME:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2024


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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALISO PICO PRESCHOOL
FACILITY NUMBER: 192006561
VISIT DATE: 06/21/2024
NARRATIVE
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Pricilla teachers maintain supervision to make sure children don’t mix classrooms. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts. LPA Perry did observe age-appropriate toys accessible to children. LPA observed a cubby for children to store their personal belongings. LPA did observe trash can to have a lid.

LPA observed cleaning solutions stored inside the bottom kitchen sink cabinet area making it accessible for children to reach. LPA did not observe a lock on cabinet. LPA did observe open kitchen door which makes it accessible for the children, which poses a danger to the children in care. LPA did observe a chemical, Isopropanol 70% on the floor in the kitchen which indicates danger and flammable and indicates to keep out of reach of children. LPA also observed Sanidry Disinfecting wipes which label indicates to keep out of reach to children. LPA informed teacher Pricilla that kitchen door must remain closed at all times. Teacher Priscilla understood. LPA did observe cameras in the entrance way as well as in the side play yard. LPA was advised that cameras do record.

Heating, lighting, and ventilation were evaluated by LPA Perry. LPA observed central AC/heater and vents located on the ceiling. LPA observed the thermostats located in classrooms and temperatures to be at 73 degrees. LPA observed the fire extinguishers located throughout the classrooms and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 12/5/2023. Smoke detectors were observed to be operating and is hard wired. Carbon monoxide detectors were observed to be in classroom and was tested and is operable. The last emergency drill was conducted on 5/7/24. LPA observed napping equipment to be in the form of cots to be in good condition and stored in the classroom. First aid kit supplies are kept inside the classroom and LPA observed the kits. A technical advisory will be issued. During this visit, per Site Supervisor, currently stated that no children are with medication or severe food allergies. LPA Perry asked if there were any poisons, firearms, weapons, or bodies of water. Site Supervisor Carolina stated no firearms, weapons, no poisons, or bodies of water. LPA did not observe firearms or weapons or poisons on the premises. LPA did observe a body of water in the outside play yard which is accessible to the children. LPA observed an 8in blue bucket of water filled to the top. Per teacher Anahi that has always been there because the teachers use that water outlet to get water but is aware that water outlet is leaking which poses an immediate danger to the health and safety of the children in care. Teacher stated that water outlet has been leaking. Site Supervisor stated the ill isolation area takes place in the Site Supervisors office and will utilize a blue cot and a nearby staff restroom. LPA also observed classroom doors that lead to public
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC809 (FAS) - (06/04)
Page: 8 of 13
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALISO PICO PRESCHOOL
FACILITY NUMBER: 192006561
VISIT DATE: 06/21/2024
NARRATIVE
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areas to be accessible to children and the push latch to be at child’s level which gives children easy access to exit facility and to the public. Main entrance door does not contain an alarm and the push handle is placed at (Worksource company) , is easily accessible to children with the turn of the knob which poses an immediate danger to the children in care. Per Lupe Granados, door only locks from the outside.

LPA Perry observed the restrooms to be in good condition with working toilets and sinks. LPA observed hand soap dispenser and paper towels to be available.

LPA Perry entered the outdoor play area at 9:00am. LPA Perry observed 2 sheds closed and locked which holds extra children’s outdoor toys. LPA Perry observed the climbing structure equipment to be age appropriate. LPA did observe 2 swings that are maintained in a good condition. LPA observed the play structure to be free of sharp, no lose or pointed parts. LPA did observe visible spiders, cobwebs and chipped paint on the play structure which poses a danger to the children in care. Play yard also has lots of debris, cobwebs, a sandbox that is littered. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. For adequate shade, LPA Perry observed a shade cover. LPA observed the playground yard to be fenced and also has a privacy green screening. LPA observed trash bins with tight lids. For outdoor water drinking, staff bring out water jugs and disposable cups.


This program provides breakfast, lunch and snack. Meals and snacks are provided by facility. Facility uses CACFP food program. LPA Perry informed Site Supervisor that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. For water drinking, LPA Perry observed water gallons with cups in each classroom. LPA observed the food preparation area to be free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including movable bins with tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects, and rodents. LPA did observe kitchen area where food is prepared not to be clean, sanitary, and damaged ceiling caused from water leak causing a piece of the ceiling to collapse, dry wall to have exposed water damage, along with part of the inside ceiling wood exposed and part of the dry wall hanging, which poses a potential risk to the health and safety of the children in care. LPA also observed sink where children’s utensils are washed to have exposed wood, black and gray like spots throughout the sink area and counter top, exposed screws and rust. Lead testing was conducted on 10/12/2022 and no lead exceedance.

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC809 (FAS) - (06/04)
Page: 9 of 13
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALISO PICO PRESCHOOL
FACILITY NUMBER: 192006561
VISIT DATE: 06/21/2024
NARRATIVE
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The following documents were posted in a prominent, publicly accessible area at the facility: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), Menu, and Earthquake Preparedness (LIC 9148). PUB 269 Child Passenger System Poster, and Daily Schedule. LPA Perry observed sign in/out sheets and observed 16 signatures. LPA did not observe previous licensing report dated 6/11/2024 which indicates 2 Type A violations. Site supervisor Carolina was advised that licensing report dated 6/11/2024 provided by the department shall be posted immediately upon receipt, adjacent to the postings required pursuant to Section 1596.817 and on or immediately adjacent to, the interior side of the main door to the facility and shall remain posted for 30 consecutive days. Per site supervisor she will post licensing report prior to LPA's completion of today's inspection.

LPA Perry reviewed the children’s roster, children’s files and observed the files to be complete.



LPA was not able to observe staff files due to staff files being located at main office. Site Supervisor was informed that staff files will be reviewed at a later date and if files are incomplete a deficiency will be given at that time.

LPA was unable to review site supervisor Carolina Ramon’s CPR, Mandated Reporter training and Preventative Health and safety certification due to file being in headquarters. Site Supervisor Carolina was advised to report to the department that there has been a change in childcare center director/ site supervisor. Site Supervisor understood. Per site supervisor Carolina previous supervisor left on Friday June 7th, 2024.

Items discussed during this visit:

1. The following items are prohibited by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both

2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC809 (FAS) - (06/04)
Page: 10 of 13
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALISO PICO PRESCHOOL
FACILITY NUMBER: 192006561
VISIT DATE: 06/21/2024
NARRATIVE
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3. Current Children’s Roster: Each childcare facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.

4.LIC 311A - Records to be Maintained at the Facility: LPAs advised that forms, regulations, and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov.

5.Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR and EMSA approved must be present.

6.Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.

7.Qualifications: Educational background, training, and/or experience for each staff present must be available for review

8. Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles or influenza declination

9.Children’s Records: must be available for review; 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.

10.Staff Records: must be available for review; background clearance, LIC 503 Health Screening report, LIC 9108 Statement Acknowledging Requirement to Report Child Abuse, Staff Qualifications, LIC 9050 Employee Rights, LIC 501 Personnel Record, AB 1207 Mandated Child Abuse Certification, MMR, TDAP, TB, influenza or influenza declination.

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC809 (FAS) - (06/04)
Page: 11 of 13
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALISO PICO PRESCHOOL
FACILITY NUMBER: 192006561
VISIT DATE: 06/21/2024
NARRATIVE
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Criminal Record Clearance – Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.



MyChildCarePlan.org –Site Supervisor was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC809 (FAS) - (06/04)
Page: 12 of 13
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: ALISO PICO PRESCHOOL
FACILITY NUMBER: 192006561
VISIT DATE: 06/21/2024
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The deficiency listed on the following page was observed by the LPA Perry and is being cited in accordance with California Code of Regulations Title 22. Two type A deficiency is being issued today for regulation 101238 (a) and regulation 101223 (a)(2). Please see attached LIC 809-D for citation. Deficiencies that are being cited need to be cleared to protect the children’s health & safety. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.

The deficiency listed on the following page was observed by LPA Perry and is being cited in accordance with California Code of Regulations Title 22. Four Type B deficiency is being issued today. Please see attached LIC 809-D for citation.

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty.

At 12:58 pm via facetime Lupe Granados (Assistant Division Director / Programs Director) as well as Edith Sanchez (Vice President of Child Development) called to be informed of deficiencies being cited and a walk through with LPA Perry was conducted.

Exit interview conducted and report was reviewed with Site Supervisor Carolina Ramon.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC809 (FAS) - (06/04)
Page: 13 of 13