<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004654
Report Date: 09/23/2022
Date Signed: 09/23/2022 03:48:04 PM


Document Has Been Signed on 09/23/2022 03:48 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: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:120CENSUS: 65DATE:
09/23/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:Annaliese Miller 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
Licensing Program Analyst (LPA) Seung Lee conducted an unannounced inspection case management inspection. Upon arrival at 12:50PM, LPA was greeted by assistant director Annaliese Miller to whom the purpose of the inspection was explained. At 1:00PM LPA was given a tour of the facility where there were children present at the time of inspection.

Census was taken. All children were napping per schedule. There were 17 children and 1 staff for Lady Bugs (2s), 17 children and 1 staff for Pandas (2s), 12 children and 1 staff for Kangaroos (3-4s), 12 children with 1 staff for Teddy Bears (3-4s), 10 children with 1 staff for Busy Bees (Pre-K), 12 children with 1 staff for Dragons (Pre-K), and 12 children with 1 staff for Zebras (TK).

During an inspection on 07/21/2022, it was disclosed from facility staff, that an incident took place that was not reported to the Department within the required time. The incident took place on 07/07/2022. Facility is required to notify the Department of unusual incidents within 24 hours of becoming aware of the incident. Facility was instructed to submit the unusual incident report. LPA obtained a copy of the written report of the incident that facility had on file.

The following deficiency is being cited in accordance to Title 22 Regulations and or Health and Safety Code (see attached 809D).

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.



Exit interview was conducted with assistant director Annaliese Miller . Copy of report provided. Appeal rights provided and explained
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 09/23/2022 03:48 PM - It Cannot Be Edited

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: 09/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/23/2022
Section Cited

1
2
3
4
5
6
7
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. This erquirement was not met evidenced by the fact that the facility did not report an incident
8
9
10
11
12
13
14
that occurred at the center on 07/07/22 within 24 hours. This is a potential risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

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: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:
DATE: 09/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2