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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004654
Report Date: 02/13/2024
Date Signed: 02/13/2024 12:07:25 PM

Document Has Been Signed on 02/13/2024 12:07 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LIGHTED WINDOW PRESCHOOL, INC.FACILITY NUMBER:
198004654
ADMINISTRATOR:SUZANNE JOHNSONFACILITY TYPE:
850
ADDRESS:1200 FOOTHILL BLVD.TELEPHONE:
(818) 790-8207
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY: 103TOTAL ENROLLED CHILDREN: 139CENSUS: 74DATE:
02/13/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:36 AM
MET WITH:Suzanne Johnson, DirectorTIME COMPLETED:
12:10 PM
NARRATIVE
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On 02/13/2024 at 08:30 am, Licensing Program Analyst`s (LPA`s) Shushanik Safaryan and Monique Ayala conducted an unannounced required 3-year inspection. A COVID-19 risk assessment was conducted prior to entering the facility. At 08:35AM LPA`s met with Assistant Director, Sandra Lizer who guided the LPA`s on a tour of the facility. Director Suzanne Johnson came in shortly after. This is a preschool age program which operates Monday through Friday from 07:30am to 6:00PM. Program consists of 6 classrooms. Per Facility Representative there are 139 children enrolled. There is an infant component on the same premises, facility number 198021120.

LPA observed all required forms/publications posted by the front entrance.

Preschool program consists of 6 classrooms .LPA`s toured each classroom and all the classrooms were inspected for safety and cleanness .LPA`s observed 74 children with 9 staff members .

At 09:10 am LPA`s toured Lady Bugs room and observed napping mats stacked up on each other allowing the linens to touch each other , which poses potential risk to the Health and Safety to children in care .

Next LPA`s toured Tedy Bears classroom and observed trash can with no lead . LPA`s reminded Facility Representative that all storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Drinking water is readily available both indoors and outdoors with the water pitcher and children bring their own water bottles too. The facility was observed to be free of flies, other insects, and rodents.

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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LIGHTED WINDOW PRESCHOOL, INC.
FACILITY NUMBER: 198004654
VISIT DATE: 02/13/2024
NARRATIVE
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The classrooms furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. All classrooms were inspected to ensure that the floors have a surface that is safe and clean. All materials and surfaces accessible to children are toxic free. LPA`s toured the bathroom accessible to the children. All toilets and washing facilities are in safe and sanitary operating conditions.

First Aid supplies are available in each classroom .

Napping equipment and bedding was inspected for good condition, appropriate storage, and cleanliness. Storage for children's belongings was inspected. Per Facility Representative , children take linens home every day and bring back next day .



LPA observed that there are functioning smoke and carbon detectors in the facility. LPA observed a fully charged and serviced fire extinguisher with service tag 12/11/2023. Emergency disaster drill was last conducted on 10/2023. Program Manager states there are no weapons, firearms, or bodies of water on the premises.

Snack menus are posted one week in advance next to the sign in and out sheets outside on the tables 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. The facility provides lunch, AM, and PM snack. Per Facility Representative meals are prepared by employee at the premises in the facility kitchen .There is a kitchen on site .The kitchen was observed to be clean, and the cleaning compounds/solutions were found to be stored away from the food.

The Directors office will be used as an isolation area .



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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LIGHTED WINDOW PRESCHOOL, INC.
FACILITY NUMBER: 198004654
VISIT DATE: 02/13/2024
NARRATIVE
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First Playground equipment is in safe condition, free of sharp, loose, or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is 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 yard. Per Facility Representative sand area checked every day by the teachers .

At 09:45 am , LPA`s toured second play area and observed crack/missing material on the rubber mat where children's play equipment is located, which poses potential risk to the Health and Safety to children in care . Per Facility Representative cracks are planned to be fixed and pictures will be provided . In outdoor area LPA`s observed 3 water drains with metal mesh cover which had tears in some sections . LPA`s advised Facility Representatives to block the access with the child safety gate to prevent children's from touching it .
Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. Facility has sign in and out sheets outside on the tables .

Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. Inspection of required forms was made and documented on the LIC 857.

LPA reviewed staff records; staff files were complete.

Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed.

There is at least one person trained in CPR and Pediatric First Aid present during this inspection. The review of Staff records was documented on the LIC 859.

Staff present had proof of the AB 1207 Mandated Reporter Training certificate on file.

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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LIGHTED WINDOW PRESCHOOL, INC.
FACILITY NUMBER: 198004654
VISIT DATE: 02/13/2024
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 AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018, any person who works in a childcare facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Facility Representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.


LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP. and results were posted by the facility on the parents board .

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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LIGHTED WINDOW PRESCHOOL, INC.
FACILITY NUMBER: 198004654
VISIT DATE: 02/13/2024
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Based on the LPA’s observations and records reviews, the following 2 Type B deficiencies listed on the attached LIC 809D (Deficiency page) are being cited in accordance with California Code of Regulations Title 22.

Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

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.

An exit Interview was conducted, a copy of this report along with Notice of Site visit , Deficiency pages and Appeal Rights were explained and provided to the Facility Representative , Suzanne Johnson on 02/13/2024.

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SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/13/2024 12:07 PM - It Cannot Be Edited


Created By: Shushanik Safaryan On 02/13/2024 at 11:31 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 02/13/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239.1(c)(2)
Napping Equipment
(c) Each cot or mat shall be equipped with a sheet to cover the cot or mat and, depending on the weather, a sheet and/or blanket to cover the child. (2) Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations and interview, the licensee did not comply with the section cited above. During the tour LPA`s observed mats along with the linens stock up on each other ,which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/27/2024
Plan of Correction
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Licensee will discuss issue with the staff and come up with the procedure for storing napping equipment and will email agenda , along with the procedure to the LPA by POC date .
Type B
Section Cited
CCR
101238.2(d)(2)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations and interview the licensee did not comply with the section cited above. LPa`s observed cracks and missing material in the outdoor play area , which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/13/2024
Plan of Correction
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Per Facility Represantative , she is getting quote today 02/13/2023. As soon it is fixed licensee will send pictures to LPA by POC date .
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:Claudia Guangorena
LICENSING EVALUATOR NAME:Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:
DATE: 02/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/13/2024


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