198004424-9-13-2019-54-CC-FVAZ-BFZ2GL-20190913172319

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198004424
Report Date: 09/13/2019
Date Signed: 09/13/2019 05:23:31 PM

COMPREHENSIVE INSPECTION

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:	COVENANT KIDS PRESCHOOL		FACILITY NUMBER:	198004424
ADMINISTRATOR:	DANDY DEPAULA		FACILITY TYPE:	850
ADDRESS:	21209 S. CLARETTA		TELEPHONE:	(562) 402-8330
CITY:	HAWAIIAN GARDENS	STATE: CA	ZIP CODE:	90716
CAPACITY:	48	CENSUS: 12	DATE:	09/13/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	02:01 PM
MET WITH:	Dandy De Paula, Director		TIME COMPLETED:	05:40 PM

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Licensing Program Analysts (LPAs) Fabiopla Vasquez and Rita Ramos conducted an unannounced 3 year required inspection. LPAs met with Dandy De Paula, Director who guided analysts on a tour of the facility. The facility operates Monday to Friday from 6:30 A.M to 6:00 P.M.

Upon arrival, the following staff were present during this inspection: Caterpillar Classroom: Staff #1, #2, and #3 with 12 preschoolers. The following was observed during the tour of the facility:

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Children have their own cots to nap on. Per Director the sheets are washed weekly.

Per Director the Isolation area for ill children is the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. LPAs observed a carbon monoxide detector and a smoke detector system. Facility has drinking water accessible indoors and outdoors.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Director states that there are no poisons stored at the facility.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. The cafeteria room has a fireplace that, Per Director, is not utilized whatsoever and it mainly serves as a decoration. LPAs obtained a signed declaration from the Director during the inspection indicating that the fireplace is never used.
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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: COVENANT KIDS PRESCHOOL	FACILITY NUMBER: 198004424
	VISIT DATE: 09/13/2019

NARRATIVE

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Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. This facility was observed to have two outdoor areas. Currently the children are not using the front yard area. They are using the middle court yard. Per Director, enrollment has been low for several years. LPAs measured the middle courtyard during the inspection and informed the Director that there is only enough space for up to 23 children. LPAs advised the Director that if they are not going to use the front yard they can either not exceed 23 children in care or they can consider reducing their licensed capacity. Per Director, the front yard will be used and the discussion will be made with the Licensee.

All individuals present have obtained a criminal record clearance or criminal record exemption. Staff #1, #2, #3 and #4 are trained in CPR and Pediatric First Aid. The staff records were reviewed during the inspection and the LIC 859 was provided to the Director during this inspection. The LIC 859 documents the staff and their pertaining records. Children’s files were also reviewed during this inspection.

Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file and they have proof against TB, measles, pertussis, and influenza.

In review of children’s records, files contain information 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.

Children's roster was reviewed and is current, however, LPAs observed that the Director did not have all the required information on the roster. LPAs printed a copy of an LIC 9040 Child Care Facility Roster and advised the Director to include the additional information that is needed. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill log was available, last drill was conducted on 06/20/19.

Menus are posted weekly in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. Snacks were reviewed for availability, quantity and appropriateness to children in care. This facility provides breakfast, lunch, and snack.

First Aid supplies were observed in the classroom in a cabinet. According to the Director, currently there is no children on medication, however, medication is administered if a child were to require it and it is accompanied by a doctor's note and parental consent. -------Page 2 of 3

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: COVENANT KIDS PRESCHOOL	FACILITY NUMBER: 198004424
	VISIT DATE: 09/13/2019

NARRATIVE

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While inspecting the storage of the first aid supplies and the medication, LPAs observed that there is Tylenol and cough syrup that does not have a child's name on it. LPAs consulted with the Director in regards to storing any type of medication whether it is prescribed or over the counter to include a child's name. The medication was observed to be in a storage room inside a high cabinet.

This facility provides Incidental Medical Services – IMS. LPAs 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

LPAs advised the Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

The following deficiency listed on the attached deficiencies page is being cited in accordance with California Code of Regulations Title 22.

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. Exit interview was conducted with Dandy De Paula, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: COVENANT KIDS PRESCHOOL	FACILITY NUMBER: 198004424
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/13/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/27/2019 Section Cited	1 2 3 4 5 6 7	Health-Related Services All prescription and nonprescription medications shall be maintained with the child's name and shall be dated. This requirement is not met evidenced by LPAs observing that there is Tylenol and
	8 9 10 11 12 13 14	cough syrup stored at the facility without a child's name on them. The medication was stored in a high cabinet. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14
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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: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019

LIC809 (FAS) - (06/04)

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