198003399-4-10-2023-33-CC-CGRN-CQRUCW-20230410152837

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198003399
Report Date: 04/10/2023
Date Signed: 04/10/2023 03:28:43 PM

Document Has Been Signed on 04/10/2023 03:28 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:	CHILD EDUCATIONAL CENTER, CALTECH/JPL COMMUNITY		FACILITY NUMBER:	198003399
ADMINISTRATOR:	CHRISTINA BOGAN		FACILITY TYPE:	840
ADDRESS:	4540 ENCINAS DRIVE		TELEPHONE:	(818) 790-2347
CITY:	LA CANADA	STATE: CA	ZIP CODE:	91011
CAPACITY:	154	CENSUS:	DATE:	04/10/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Jaytiana Blackwood		TIME COMPLETED:	03:45 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	Licensing Program Analyst (LPA) Crystal Green conducted an unannounced required 1 year inspection. LPA met with Lead Teacher, Aimee Tobola who guided analyst on tour of facility. Also present during this inspection was Site Director, Jaytiana Blackwood. This is a school-age program that operates Monday to Friday from 7am to 6pm. This facility is located on the campus of La Canada Elementary School. This program is currently licensed to use classroom 35 and 36. The licensee has requested to temporarily use classroom 24 due to the recent rain damages causes to the roof in classroom 36. This will be a temporary change until June 2, 2023, or until classroom 36 is fully repaired. LPA observed classroom 36 to not be in use. No children were observed in the classroom. During this inspection, LPA inspected classroom 24 to ensure that it contains age-appropriate furniture and equipment. The classroom was observed to be in compliance. Classrooms are centrally heated and air conditioned. Children will use the elementary school's restrooms. The designated isolation area will be the Directors Office located in the front entrance. Parents will be called immediately if children become sick. Ill children will use the staff restroom. The facility provides afternoon snacks. Children uses the elementary school playground which offers room for a variety of outdoor sports and games. Required shade was observed outdoors. Elementary playground restrooms will be used by children. No transportation will be conducted by the facility. Staff Records were not reviewed during this inspection. Staff files are maintained at the licensee HR main office located in La Canada, CA 91011. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2023

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: CHILD EDUCATIONAL CENTER, CALTECH/JPL COMMUNITY	FACILITY NUMBER: 198003399
	VISIT DATE: 04/10/2023

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

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/inspection-process.

At this time, the licensee is in compliance with California Title 22 Regulations. The licensee request to temporarily utilize classroom 24 has been approved. No measurements were obtained during this inspection. Licensee understands to notify the department of any additional changes or if temporary used space will need to be extended.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted with Site Director.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2023

LIC809 (FAS) - (06/04)

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