198005598-6-25-2021-33-CC-LGOZ-C4BPB8-20210625110956

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198005598
Report Date: 06/25/2021
Date Signed: 06/25/2021 11:10:09 AM

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:	SUNKIST HEAD START/STAATE PRESCHOOL		FACILITY NUMBER:	198005598
ADMINISTRATOR:	ADRIANA VALENZUELA		FACILITY TYPE:	850
ADDRESS:	935 MAYLAND AVE		TELEPHONE:	(626) 931-7747
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91746
CAPACITY:	36	CENSUS: 0	DATE:	06/25/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:13 AM
MET WITH:	Rosa Ducoing, Child Development Program Director		TIME COMPLETED:	11:27 AM

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	At 9:13a.m. on 6/25/2021, Licensing Program Analyst (LPA) Lissete Gonzalez conducted an unannounced Case Management Licensee Initiated inspection. LPA met with Child Development Program Director, Rosa Ducoing. There were zero (0) children present. LPA conducted the inspection for the purpose of addressing a Toddler Option addition. Applicant is requesting 12 Toddlers and 20 Preschoolers for a total capacity of 32. The facility is currently licensed for 36 Preschoolers. The proposed Toddler classroom is Room #B. At 9:36a.m., LPA began facility tour with the Child Development Program Director. All areas identified on the facility sketch were inspected. Room #A is a preschool classroom and is adjacent to Room #B. The children's restroom is located in between Room #A and Room #B. LPA did not observe a child safety gate in Room #B to prevent the toddlers from accessing the preschool Room #A. LPA observed age appropriate equipment, toys, and supplies for children. Room #B (Toddlers) has designated an isolation area in the classroom with a mat available for ill children waiting to be picked up. There are napping cots available for the children. Per Child Development Program Director, linens and bedding will be sent home for laundering every Friday. There are laundry services available at another facility location to be used as needed. There is one changing table located in Room #B within arm's reach of a sink. The restroom was observed to be clean and hazard free. LPA observed a landline in Room #B. LPA observed the smoke and carbon monoxide combination detector in the Room #B to be operational. There are emergency supplies and a first aid kit located in the toddler classroom. There is a parent board with the required postings located outside the classroom. The children will be signed in and out manually. There is drinking water available in form via a water jug with disposable cups. Cleaning supplies are kept in upper cabinets that are locked in the kitchen area. There are trash cans with tight fitting lids available in the REPORT CONTINUES ON NEXT PAGE: 1 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021

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: SUNKIST HEAD START/STAATE PRESCHOOL	FACILITY NUMBER: 198005598
	VISIT DATE: 06/25/2021

NARRATIVE

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classrooms. Central air and heating are available in the classrooms.

LPA did not observe a menu posted in the classrooms due to current facility closure for Summer break. Facility staff advised menus must be posted monthly when school is in session. Meals will be prepared and delivered daily by the Bassett Unified School District cafeteria. There is a food preparation area located in between Room #A and Room #B. There is one refrigerator designated for Preschool and Toddler children and storage space for supplies located in the food preparation area. The kitchen was observed to be clean and orderly.

The proposed Toddler outdoor playground was inspected and measured. There is age appropriate play equipment in the playground. There is a fence separating the Preschool playground from the Toddler playground. The outdoor space is fenced. Drinking water is available in form of water fountain. There is adequate shade in the yard.

The Toddler playground was inspected and measured. There is age appropriate play equipment in the toddler yard. The outdoor space is fenced. Drinking water will be provided in form of water jugs and disposable cups. There is adequate shade in the yard.

Based on the measurements, the facility can accommodate 20 Preschoolers and 12 Toddlers. There is a current and valid fire clearance on file with the Department with an inspection date of 5/19/2021.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual -
Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is
provided, a Plan for Providing IMS must be submitted to the Department. 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

LPA observed the preschoolers and toddlers will be sharing the restroom. LPA observed the toddlers will need to walk through the preschool playground daily for drop off and pick up. LPA observed the preschoolers may need to walk through the toddler outdoor playground located at the exterior of Room #A in the event of an emergency. The matter will be addressed with the management team prior to approval of granting the toddler
REPORT CONTINUES ON NEXT PAGE: 2 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: SUNKIST HEAD START/STAATE PRESCHOOL	FACILITY NUMBER: 198005598
	VISIT DATE: 06/25/2021

NARRATIVE

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option and preschool capacity decrease.

In addition, the following corrections need to be corrected prior to obtaining the capacity decrease with toddler option child care license. Correction below is due by 7/16/2021:

A child safety gate will be installed in the toddler Room #B to prevent access to preschool Room #A.

No deficiencies cited during this visit.

Exit interview conducted with Child Development Program Director, Rosa Ducoing. A copy of this report and appeal rights were provided and explained.

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.

END OF REPORT PAGE: 3 OF 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021

LIC809 (FAS) - (06/04)

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