198009297-10-15-2019-33-CC-JHUA-BGYMGG-20191015093555

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198009297
Report Date: 10/15/2019
Date Signed: 10/15/2019 09:36:00 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:	HACIENDA LA PUENTE USD - SUNSET		FACILITY NUMBER:	198009297
ADMINISTRATOR:	MELISSA GARAY		FACILITY TYPE:	850
ADDRESS:	800 N. TONOPAH		TELEPHONE:	(626) 933-6544
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	18	CENSUS: 13	DATE:	10/15/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:16 AM
MET WITH:	Mahvel Zuvala		TIME COMPLETED:	09:40 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	Licensing Program Analyst (LPA) Jennifer Hua met with Ms. Mahvel Zuvala, Site Supervisor for the purpose of a Health and Safety inspection. Head Start Program meets on the campus of Sunset Elementary School in Room #2 from 8 to 11:30 A.M. only. Per school district policy, there are no weapons or firearms stored on the premises. Classroom is equipped with age appropriate furniture, fixtures, equipment, and supplies. There are areas offering a variety of activities for the children to develop and master educational skills and activities of daily living. Restroom is located inside the classroom. It is clean, odor free, and well supplied with toilet paper, paper towel, and dispensable soap. Staff visually supervise and are available to children who may require assistance with toileting. Water fountain in classroom is available to children to drink freely. Staff observed interacting with children in their classroom activities and are mindful of children's personal rights. Teacher child ratios are met using Title 5: 1 teacher for 24 children with 1 adult for 8 children. On this visit the site supervisor, teacher assistant, and parent volunteer were present. Sign in /out sheets reflect the number of children in care and census is within the licensed capacity of 18 children. Disinfectants (bleach water solution) are stored out of reach of children in overhead cabinets. First Aid kit inventoried and appears to meet the needs of children in care for minor injuries. Medications are stored in a locked filing cabinet out of reach of children. Per site, children currently enrolled requiring medication. There is a carbon monoxide detector in the classroom

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019

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: HACIENDA LA PUENTE USD - SUNSET	FACILITY NUMBER: 198009297
	VISIT DATE: 10/15/2019

NARRATIVE

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Breakfast and lunch are prepared at the elementary school and brought in from the school's cafeteria in containers that prevent food and milk from perishing. Meals are eaten family style. Food waste and trash are place in a trash can with a tight fitting lid. Tables are cleaned and flooring swept immediately after children have finished eating.

Playground is fenced and gated. It is used exclusively by the Head Start's morning session. There is a special education preschool but they do not use the yard when Head Start is in session. Playground offers an age appropriate play structure, cushioning material under to cusion fall. Water dispenser with paper cups is available to children for drinking water.

Staff have copy of records demonstrating qualifications for positions served as well as current certification in pediatric CPR and First Aid. Staff have completed the Mandated Reporter training, certificate in file. Parent volunteer's health report and vaccine records on file. A sampling of children records reviewed. Required forms are posted: License, Personal rights, Parents Rights poster for Centers, Car Seat Law, and Emergency Disaster Plan, menus are posted

Incidental Medical Services - (IMS) was discussed. For IMS information see Evaluator Manual - Regulation and 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

No deficiencies given.
Exit interview conducted with Ms. Zuvala. Copy of report given. Notice of site visit posted on door used by parents/guardians entering the classroom for sign in or sign out.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019

LIC809 (FAS) - (06/04)

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