198009646-4-7-2022-33-CC-FVAZ-CD9PA3-20220407110806

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198009646
Report Date: 03/25/2022
Date Signed: 04/07/2022 05:05:09 PM

Document Has Been Signed on 04/07/2022 05:05 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:	BALDWIN PARK PRESCHOOL ACADEMY		FACILITY NUMBER:	198009646
ADMINISTRATOR:	CATALINA MORALES		FACILITY TYPE:	850
ADDRESS:	3970 MAINE AVE		TELEPHONE:	(626) 960-7100
CITY:	BALDWIN PARK	STATE: CA	ZIP CODE:	91706
CAPACITY:	45	CENSUS: 21	DATE:	03/25/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Maria Corona, Site Supervisor		TIME COMPLETED:	11:30 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	On 03/25/22 Licensing Program Analyst (LPA) Fabiola Vasquez conducted a required unannounced random inspection. LPA met with designated facility Maria Corona, Site Director. Who guided LPA on a tour of the facility. LPA observed 2 staff with 7 children in room A. LPA observed 1 staff with 3 children in room B total of 10 children upon arrival. Teacher child ratios were observed to be in accordance with Title 22 regulations. The facility is within the conditions, limitations, and capacity specified on the license. Staff names were recorded. All children were observed to be under visual supervision of a teacher at all times. LPA observed the facility to be clean, safe, sanitary and in good repair. Furniture and equipment was inspected for good repair, free of sharp, loose, or pointed parts. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All toilets and hand washing facilities are in safe and sanitary operating conditions. All materials and surfaces accessible to children are toxic free. At this time, the office is used as an isolation area. There are chairs in the office or a cot is provided if needed. Parents are contacted immediately when children are determined to be ill and staff are ensuring that children with obvious symptoms of illness are not being accepted. Snack menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. The facility provides AM snack, and PM snack for the half day programs. Breakfast, lunch and snack is provided for the children that are in the full day program All kitchen, food preparation, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination, and LPA inspected that any contaminated food is discarded immediately. There is drinking water available in all indoor classrooms and water is taken outdoors for children. All storage containers for solid waste, including moveable bins, have covers on and are in good repair. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are stored in an area inaccessible to children. Storage areas for poisons are locked. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. PAGE 1 OF 4

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2022

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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Document Has Been Signed on 04/07/2022 05:05 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: BALDWIN PARK PRESCHOOL ACADEMY	FACILITY NUMBER: 198009646
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/25/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

101174(b)(2)(A)

Disaster and Mass Casualty Plan

(b) The plan shall be subject to review by the Department and shall include: (2) Contingency plans for action during fires, floods and earthquakes including, but not limited to, the following: (A) Fire safety plan. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA'S observation, the licensee did not comply with the section cited above. Facility had had fire extiguishers expired on dated 3/2021 which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 04/07/2022
	Plan of Correction
1 2 3 4	Deficiency was cleared during today's visit on 4/7/22. LPA observed the fire extinguisher with an attached reciept purchased on 3/2/7/22.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/07/2022 05:05 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: BALDWIN PARK PRESCHOOL ACADEMY	FACILITY NUMBER: 198009646
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/25/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101239(n)

Fixtures, Furniture, Equipment and Supplies

(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation LPA observed a wooden playhouse in the outdoor play yard to be warped with exposed splinters. which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/07/2022
	Plan of Correction
1 2 3 4	Deficiency was cleared during today's visit on 4/7/22. LPA did not observed that the playhouse was removed.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC809 (FAS) - (06/04)

Page: 6 of 6

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: BALDWIN PARK PRESCHOOL ACADEMY	FACILITY NUMBER: 198009646
	VISIT DATE: 03/25/2022

NARRATIVE

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LPA observed a fish tank in rooms A and B. LPA observed the fire extinguisher to be expired: Date: 3/2021 The facility takes measures to keep the facility free of flies, other insects and rodents. Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards. LPA observed a wooden playhouse in the outdoor play yard to be warped with exposed splinters.

Areas around and/or under climbing equipment, swings and slides has cushioning material to absorb a fall; climbing apparatuses has a single upper level. Director states there are no weapons or firearms on the premises. Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day.

Staff Records were reviewed to ensure that a health screening report is on file.
Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed.

SB792 (Immunization Requirements for Staff and Employees) was discussed with the Licensee. The Licensee and her assistants

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a child care facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers Licensee completed training on .

At approximately 2:12 PM LPA Vasquez began the facility tour with Director Maria Corona. LPA will complete the visit on another day due to time. Time of the visit 2:10-4:30PM.

END OF VISIT

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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC809 (FAS) - (06/04)

Page: 2 of 6

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: BALDWIN PARK PRESCHOOL ACADEMY	FACILITY NUMBER: 198009646
	VISIT DATE: 03/25/2022

NARRATIVE

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VISIT CONTINUATION ON 04/07/22.
At 8:30 AM Licensing Program Analyst (LPA) Fabiola Vasquez conducted an unannounced continuation visit on 04/07/22. LPA met with Abelina Moreno, Lead Supervisor who is substituting for Maria Corona for the day. LPA observed 2 staff with 10 children in room A. LPA observed 2 staff with 11 children in room B a total of 21 children upon arrival. This is a State Preschool program licensed for 45 children which operates Monday – Friday from 8:00 AM – 4:00 PM. There are three classroom, room A operates 8:00-11:00 AM and 1:00-4:00 PM. Classroom B operates an all-day program from 8:00 AM to 4:00 PM Classroom C is not being used at, 34 children enrolled.

The Director’s email address was obtained during this visit. The licensee was advised that email is public information.

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

The following was discussed:
The Licensee shall be present in the home and shall ensure that children are supervised at all times.
Children shall not be left in park vehicles. The capacity specified on the license shall be the maximum number of children for whom care can be provided. Car seats shall only be used for transportation purposes and shall not be used for sleeping. All children in care have the right to receive safe, healthful, and comfortable accommodations, furnishings and equipment. When a child shows signs off illness, they will be separated from other children until the nature if the illness is determined.

Effective January 1, 2010, licensees of family child care homes are required to ensure that at least one staff member with current training in pediatric first aid and pediatric CPR is on site at all times when children are present.

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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC809 (FAS) - (06/04)

Page: 5 of 6

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: BALDWIN PARK PRESCHOOL ACADEMY	FACILITY NUMBER: 198009646
	VISIT DATE: 03/25/2022

NARRATIVE

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The licensee’s email address was obtained during this visit. The licensee was advised that email is public information.
Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

Acknowledgement of Receipt of Licensing Reports was provided.

The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22 and/or the Health and Safety Code. Please see attached LIC 809d.

Deficiencies that are being cited were observed during a visit on 03/25/22 need to be cleared to protect the children’s health & safety. Deficiencies were cleared during 04/07/22 visit.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

Criminal Record Statement
Lead Supervisor, Abelina Moreno reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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/process.

Notice of Site Visit
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee Abelina Moreno.

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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC809 (FAS) - (06/04)

Page: 3 of 6