197493794-1-21-2020-30-CC-MSIN-BL2NGV-20200121092747

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493794
Report Date: 01/16/2020
Date Signed: 01/21/2020 09:27:56 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	VISION PRESCHOOL- SCHOOL AGE		FACILITY NUMBER:	197493794
ADMINISTRATOR:	KIM, SOOK KI		FACILITY TYPE:	840
ADDRESS:	20440 LASSEN STREET		TELEPHONE:	(818) 895-7643
CITY:	CHATSWORTH	STATE: CA	ZIP CODE:	91311
CAPACITY:	25	CENSUS: 0	DATE:	01/16/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:47 PM
MET WITH:	Sook Ki Kim		TIME COMPLETED:	02:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Margarit Sislyan, Licensing Program Analyst (LPA ) met with Sook Ki Kim (Director/Owner), for the purpose of conducting an annual random visit. They toured/inspected the facility. The facility has 2 classrooms. There were no children present during the visit. Snack and lunch menus were observed in all classrooms. Food preparation area was inspected and it was clean and orderly. Storing of toxins/cleaning compounds. During the visit, all Classrooms had drinking water via water pitcher and cups available for children as needed. Furniture and equipment was inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated and were in compliance with Title 22 Division 12 Chapter 1 regulations. Storage for children's belongings was noted to be proper and individualized. Isolation area with sink, toilet, and mat/cot was inspected and was orderly. There were separate boy bathrooms and girl bathrooms that had age appropriate sinks and toilets that were inspected for availability, good repair, water temperature, toilet paper, paper towels, soap, area safety and sanitation and all were in order. First Aid supplies were inventoried and smoke detectors/fire extinguishers were observed to be well serviced. Sign in and out sheets were reviewed and were complete. Documentation of Fire and Earthquake drills , Emergency disaster plan were posted. Activity Schedule was posted in all classrooms. Outdoor play is conducted at the park by the school and the facility has a waiver on file for that. The waiver was posted at the facility,. LPA reviewed children records during this inspection and all were complete. Teachers' personnel records were reviewed and were complete. All teachers and the facility director have current certificates of pediatric first aid and CPR which expire in 4/2021 .

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: VISION PRESCHOOL- SCHOOL AGE	FACILITY NUMBER: 197493794
	VISIT DATE: 01/16/2020

NARRATIVE

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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

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 (Lopez), Chapter 414, Statutes of 2015: 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/

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

An exit interview was conducted.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020

LIC809 (FAS) - (06/04)

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