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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198006450
Report Date: 02/17/2022
Date Signed: 02/17/2022 03:46:24 PM

Document Has Been Signed on 02/17/2022 03:46 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:GATEWAY MONTESSORI & PRESCHOOLFACILITY NUMBER:
198006450
ADMINISTRATOR:CHARMAINE MANAGEFACILITY TYPE:
840
ADDRESS:4730 GRAND AVE.TELEPHONE:
(626) 331-0931
CITY:COVINASTATE: CAZIP CODE:
91724
CAPACITY: 15TOTAL ENROLLED CHILDREN: 16CENSUS: 2DATE:
02/17/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Charmaine Manage, DirectorTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Thelma Razo conducted an unannounced Required - 1 year inspection on 2/17/2022 at 1:30PM. A risk assessment was conducted prior to entry to the facility LPA met with Director Charmaine Manage and stated the purpose of the visit. LPA provided Director with a copy of the LIC 125 Entrance Checklist to facilitate the inspection. This is a school age program with preschool (#198006449) and infant program (#198015527). Business hours are from Monday to Friday, 6:30 AM to 6:00 PM.

LPA was guided to a facility tour by Director at 2:01PM. All areas identified on the Facility Sketch were inspected. The were four classrooms. Classroom #1 has 2 children with teacher Jessica Dickerson and teacher Ana Tokumori.. Classroom #2, #3 and #4 were empty. The facility was observed to be within the license capacity and limitations. Sign-In and Sign-Out sheets were reviewed. Children present were signed in by the teacher who picked them up from school. Children's roster was reviewed and is current.

The following were observed during the tour of the facility:
Furniture and equipment were inspected for age appropriateness and good repair, telephone service (land line), heating, lighting and ventilation were evaluated. All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic free. Per Director, there were no firearms stored on the premises and no pools or bodies of water. Children have their own cubby to store their belongings. Per Director, the isolation area is in the office. Age appropriate sinks and toilet were inspected for availability and good repair. General sanitation was observed. Availability of indoor drinking water was observed in the classroom. First Aid supplies were observed in the classroom.
Disinfectants, cleaning solutions, and other items that are dangerous to children were inaccessible. Director states that there are no poisons stored at the facility. Carbon monoxide detectors were tested and were operable. 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. Facility provides afternoon snacks. Menu was observed to be posted one week in advance.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE: DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/17/2022
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: GATEWAY MONTESSORI & PRESCHOOL
FACILITY NUMBER: 198006450
VISIT DATE: 02/17/2022
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Outdoor playground equipment is in a 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. Availability of outdoor drinking water was observed. LPA advised that no children shall be left without the supervision of a teacher at any time.

All individuals present have obtained a criminal record clearance or criminal record exemption. 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 have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present have proof against TB, measles, pertussis, and influenza. All staff have been given on the job training on sanitation principles, housekeeping, including universal health precautions.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/tion-process.

There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director Charmaine Manage.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC809 (FAS) - (06/04)
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