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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009140
Report Date: 11/19/2019
Date Signed: 11/19/2019 04:04:00 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:LILY'S GARDEN PRESCHOOLFACILITY NUMBER:
198009140
ADMINISTRATOR:JEAN LEUNGFACILITY TYPE:
850
ADDRESS:616 S. CHAPEL AVE.TELEPHONE:
(626) 282-9736
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:122CENSUS: 112DATE:
11/19/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Jean LeungTIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) Ariel Cazares conducted an unannounced annual/random inspection on this date. LPA met with Director Jean Leung and was guided on a tour of the facility. There were 112 children present and 9 staff in 8 classrooms. The facility’s hours of operation are Monday through Friday, 7:00am-6:00pm.

LPA inspected the facility which consists of 8 classrooms, 1 exercise room (#2), an outdoor playground, kitchen, and office. Each classroom was inspected for furniture and equipment's age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own storage space to store their belongings. Napping equipment is available in form of cots. There is drinking water in form of personal water bottles. The facility's carbon monoxide detector in the office was tested and found to be operational. The children’s restroom is located centrally in the building. The restrooms were observed to be clean and in good condition, with sufficient supplies and soap for children to use.

The office has a parent board where the required postings and menus can be viewed. Per director, the isolation area is located in the office and a staff restroom is available for ill children to use. The office is used to store medication for children.

The facility has a kitchen were meals and snacks are prepared and cooked for the children. The kitchen was inspected and observed to be clean, orderly, and sufficient storage for supplies. The facility provides lunch and two snacks.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019
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 5
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: LILY'S GARDEN PRESCHOOL
FACILITY NUMBER: 198009140
VISIT DATE: 11/19/2019
NARRATIVE
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LPAs inspected the children’s outdoor space. The playground was inspected for safety, cushioning material, good repair and age appropriateness. LPA observed there to be shade and adequate fencing. There is a water fountain available for use but children also bring out their own water bottles.
LPAs also reviewed criminal record clearances, children and staff records. Sign in and out sheets were reviewed and found to be incomplete. LPAs counted 73 signatures and 112 children present. LPAs informed director that 39 children present were not signed in. After further discussion Director stated that 2 children in classroom 1 are part of the Kindergarten facility next door and would be signed in under the Kindergarten sign in/out sheet. Per Director, the children were present for tutoring by the teacher in classroom 1 while the preschool children napped. Eleven (11) children were signed in with their sibling on the Kindergarten sign in sheet. This left a total of 16 children present not signed in. LPAs observed that the facility was commingling LPAs did not observe the mandated reporter certificates for the staff on file. Www.mandatedreporterca.com

Incidental Medical Services (IMS) policy was discussed. 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

See attached deficiencies page for citations in accordance with Title 22 California Code of Regulations.

Upon receipt of this report, the Licensee shall post the Notice of Site visit and any licensing report documenting a type “A” deficiency. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year).
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: LILY'S GARDEN PRESCHOOL
FACILITY NUMBER: 198009140
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/22/2019
Section Cited

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The person who brings the child to, and removes the child from, the center shall sign the child in/out.
This requirement has not been met as evidenced by LPAs review of sign in and out sheets finding 16 children present were not signed in. This poses a potential risk to the health and safety of children in care.
Type B
12/03/2019
Section Cited

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A licensed child care provider or applicant for that license, an administrator, or employee of a licensed child care facility is exempt from the detecting and reporting child abuse training if he or she has limited English proficiency and training is not made available in his or her primary language.
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This requirement has not been met as evidenced by LPAs review of staff files. Staff #1-4 did not have the certificate of completion for the mandated reporter training on file. This poses a potential risk to the health and safety of children in care.
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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 ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:
DATE: 11/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/19/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: LILY'S GARDEN PRESCHOOL
FACILITY NUMBER: 198009140
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/19/2019
Section Cited

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A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
This requirement has not been met as evidenced of 2 Kindergarten children enrolled in the school next door present in the preschool classroom 1 on this date.
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The facility was observed to be commingling and operating outside of the conditions of their license. This poses an immediate risk to the health and safety of children in care.
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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 ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:
DATE: 11/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/19/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5
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: LILY'S GARDEN PRESCHOOL
FACILITY NUMBER: 198009140
VISIT DATE: 11/19/2019
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The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee.

Exit interview conducted with Director Jean Leung. 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.

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel CazaresTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5