198001533-9-23-2022-33-CC-SLEE-CJGTAL-20220921143343

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198001533
Report Date: 09/21/2022
Date Signed: 09/23/2022 03:45:50 PM

Document Has Been Signed on 09/23/2022 03:45 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	FREMONT ELEMENTARY HEAD START/STATE PRESCHOOL		FACILITY NUMBER:	198001533
ADMINISTRATOR:	MARIANA SANCHEZ		FACILITY TYPE:	850
ADDRESS:	200 W. MADISON AVE.		TELEPHONE:	(323) 887-2172
CITY:	MONTEBELLO	STATE: CA	ZIP CODE:	90640
CAPACITY:	42	CENSUS: 30	DATE:	09/21/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Blanca Murillo		TIME COMPLETED:	03:00 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	An unannounced required Inspection was conducted on this day by Licensing Program Analyst (LPA) Seung Lee. Facility is currently licensed for a capacity of 42 children. LPA met with Blanca Murillo, Teacher who guided analyst on a tour of the facility. This is a Head Start preschool program which is operated by Montebello Unified School District and is located on the premises of Fremont Elementary School. Hours of operation are 8AM-2PM for Room 01. 8AM-11:30AM and 12PM-3:30PM for Room 02 All areas identified on the Indoors and Outdoors Facility Sketch were inspected. LPA observed a total of 16 children with 4 Staff members in Room 02 and 14 children with 2 Staff members in Room 01. A Parent volunteer was also present outside in the yard. Teacher child ratios were observed and staff names recorded. Sign in and out sheets and procedures were reviewed. Facility uses the electronic Child Plus sign in/out system. INDOORS: Furniture and equipment was inspected for age appropriateness, good repair and free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. Napping equipment (cots) and bedding were inspected for good condition, appropriate storage and cleanliness. Children take their blankets home weekly to wash. Storage for children's belongings and isolation area were inspected. Ill isolation area is in the library area of each room. Drinking water is readily available indoors for children to drink freely via a. Carbon monoxide detectors and smoke detectors are present. Age appropriate sinks (7) and toilets (3) were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. First Aid supplies were inventoried. During this inspection there are no children with incidental medical needs.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022

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: FREMONT ELEMENTARY HEAD START/STATE PRESCHOOL	FACILITY NUMBER: 198001533
	VISIT DATE: 09/21/2022

NARRATIVE

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Food menus were reviewed. Food is provided by the School District Cafeteria. Food and snacks were reviewed for availability, quantity and appropriateness for children in care. The facility provides, breakfast, lunch and an a PM snack to the full day program; breakfast and lunch to the AM program and lunch and a PM snack to the PM program. Food preparation area was toured for safety, cleanliness and proper equipment. All storage containers for solid waste, including moveable bins had tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects and rodents. Disinfectants, cleaning solutions, medications and other items that are dangerous to children, were inaccessible to children

OUTDOORS: The outdoor play yard is fully fenced and exclusively used by the Head Start program. Outdoor play equipment was inspected for safety, free of sharp, loose pointed parts, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Drinking water was available outdoors for children to drink freely via a water fountain. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards were observed. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall.

RECORDS REVIEW: Children's complete records were not reviewed since they are kept in the District Main Office and will be reviewed at a later date. Sampling of children’s emergency information was reviewed and appeared to be current. Staff files were not reviewed as staff files are kept at the District Main Office and will be reviewed at a later date. If there are any deficiencies during that review, this report may be amended. All staff is fingerprint cleared, as a condition of employment through the school district. Four staff members provided proof of current Pediatric First Aid and CPR certification. The name of the child care center director or fully qualified teacher(s) designated to act in the director's is posted.

Incidental Medical Services (IMS). 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. A 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: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022

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: FREMONT ELEMENTARY HEAD START/STATE PRESCHOOL	FACILITY NUMBER: 198001533
	VISIT DATE: 09/21/2022

NARRATIVE

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No deficiencies were cited during this inspection. An exit interview was conducted with Blanca Murillo, Teacher. A copy of this report and Notice of Site Visit was provided. Appeal rights discussed and explained

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.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 09/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2022

LIC809 (FAS) - (06/04)

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