198004654-10-24-2019-33-CC-JDOY-BHA235-20191024170146

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198004654
Report Date: 10/24/2019
Date Signed: 10/24/2019 05:02:07 PM

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:	LIGHTED WINDOW PRESCHOOL, INC.		FACILITY NUMBER:	198004654
ADMINISTRATOR:	SUZANNE JOHNSON		FACILITY TYPE:	850
ADDRESS:	1200 FOOTHILL BLVD.		TELEPHONE:	(818) 790-8207
CITY:	LA CANADA	STATE: CA	ZIP CODE:	91011
CAPACITY:	103	CENSUS: 67	DATE:	10/24/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Suzanne Johnson		TIME COMPLETED:	05:15 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) Justin Dorsey conducted an unannounced Annual Random Inspection. LPA met with Office Manager Shannon Lyons-Heberger, who guided LPA on a tour of the facility. Director Suzanne Johnson later arrived at the facility. LPA inspected all areas identified on the Facility Sketch. The following staff were observed in each classroom during this visit: Pandas: Staff #1 and Staff #2 with 1 child; Teddy Bear: Staff #3 and Staff #4 with 10 children; Kangaroo: Staff #5, Staff #6 and Staff #7 with 14 children; Lady Bugs: Staff #8, Staff #9 and Staff #10 with 9 children; Busy Bees: Staff #11, Staff #12 and Staff #13 with 18 children and Dragons: Staff #14, Staff #15 and Staff #16 with 15 children. Students have access to the classrooms, restrooms and outdoor play area. Students of the program are signed in at their designated classrooms by parents. This facility does not provide transportation. Furniture and equipment are safe and in good repair. There is telephone service, heating, lighting and ventilation available at the facility. Per Office Manager and Director the main office is used an isolation area, the children's restrooms has been designated for the use of ill children if needed. Drinking water is available indoors and outdoors. Restrooms used were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. The kitchen, which the students don't have access to is near the facilities entrance. The facility provides Am snack, two PM snacks and lunch to the children in care. Containers used to discard food have tight fitting lid at this time. Snack menu was posted near the kitchen and visible for parents to see. Snacks were reviewed for availability, quantity and appropriateness to children in care. Poisons, cleaning compounds and sharp items are inaccessible.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LIGHTED WINDOW PRESCHOOL, INC.	FACILITY NUMBER: 198004654
	VISIT DATE: 10/24/2019

NARRATIVE

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This facility has two outdoor play areas. Both outdoor playgrounds are in safe condition, free of sharp, loose or pointed parts. The surfaces of the outdoor playgrounds are maintained in a safe condition and free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yards.

A review of records was conducted for staff and participants. LPA observed that staff have current First Aid and CPR (Expires 04/2020).

On 10/24/19 while reviewing staff files LPA observed that Staff #7 did not have proof of the MMR vaccination.

On 10/24/19 while reviewing staff files, LPA Dorsey found that Staff #1 has not taken the mandated reporter training since 09/13/2017.

Ratios were observed to be in compliance. First Aid supplies are available. Disaster drills are documented and all posting requirements have been met.

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
REMINDER: Failure to obtain a criminal record background check clearance prior to initial presence will result in an immediate $100.00 dollar or more.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LIGHTED WINDOW PRESCHOOL, INC.	FACILITY NUMBER: 198004654
	VISIT DATE: 10/24/2019

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LPA advised how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. Also, discussed new requirements for providers, including mandate reporting training for staff which can be found at: http:/www.mandatedreporterca.com/training /training.htm. This is a new regulatory requirement beginning January 2018. According to staff, training has been completed through Community Care Licensing. Please review all elements outlined in AB 1207- Mandated Reporting Training.

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 reprehensive. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Director Suzanne Johnson and Office Manager Shannon Lyons-Heberger, The Notice of Site Visit and Appeal Rights were given.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

LIC809 (FAS) - (06/04)

Page: 4 of 4

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: LIGHTED WINDOW PRESCHOOL, INC.	FACILITY NUMBER: 198004654
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/24/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/14/2019 Section Cited	1 2 3 4 5 6 7	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. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	8 9 10 11 12 13 14	Based on observation Staff #7 was missing proof of a required immunization, which poses a potential Health, Safety or Personal Rights risk to children in care.	8 9 10 11 12 13 14
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	1 2 3 4 5 6 7

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: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019

LIC809 (FAS) - (06/04)

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