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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198010850
Report Date: 09/11/2023
Date Signed: 09/11/2023 03:04:31 PM


Document Has Been Signed on 09/11/2023 03:04 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:MT VIEW PRESCHOOL/CLAREMONT UNIFIED SCHOOL DIST.FACILITY NUMBER:
198010850
ADMINISTRATOR:MARIANA SANCHEZFACILITY TYPE:
850
ADDRESS:851 SANTA CLARA AVENUETELEPHONE:
(909) 398-0320
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:24CENSUS: 7DATE:
09/11/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Madisenne Burciaga & Mariana SanchezTIME COMPLETED:
03:25 PM
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On September 11, 2023, Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced required 1-year inspection. A COVID-19 risk assessment was conducted prior to entering the facility. LPA entered facility through the side gate located on the east side of Mountain View elementary school. There is a ramp that leads to the preschool program. LPA met with teacher, Madisenne Burciaga and LPA took a census of 7 children and 4 staff in care. The program operates as a State preschool age program. The teacher called the Director, Mariana Sanchez whose main office is located off-site. At approximately 12:45 pm Director arrived who oversees the preschool program and met with LPA to facilitate the visit.

Hours of operation: The days and hours of operation of the program are Monday-Friday, 8:00 A.M.-11:00 A.M. and 12:00 P.M.-3:00 P.M. So, there are currently two separate programs, one in the morning and one i the afternoon.

Location: There is one portable, Preschool portable. The portable is adjacent from 2 other classrooms that accommodate 2 kindergarten classes on the east side of the Elementary school. The portable and the playground is surrounded by a rod iron fence. There is currently a waiver on file that the preschool program and kindergarten classes will not play on the playground at the same time. The portable is one large classroom with two restrooms for the children, an adult size sink, refrigerator, adult size desk. The rod iron fence which surrounds the portable are kept locked during operating hours and are only unlocked when children are being dropped off and picked up. The children enter through the portable door and it has an additional emergency exit door on the other side of the portable. To gain access to the school there is a side gate for parents to drop-off and pick-up children.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 09/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2023
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: MT VIEW PRESCHOOL/CLAREMONT UNIFIED SCHOOL DIST.
FACILITY NUMBER: 198010850
VISIT DATE: 09/11/2023
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Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers

All posting requirements were observed on the Parent Boards. The Parent Board is located on the wall adjacent to the door through which the children will enter. A copy of the monthly menu is posted on the parent board and is also available online on the school website. All food is provided by the School District. In the A.M. program, breakfast will be served at 8:20 am, and in the P.M. program lunch is served at 12:20 pm.

There are currently no children who require medication. If they do, it is kept in a high cabinet out of reach of children, as well as having a full-size refrigerator to store medication. Director stated that as well as having an IMS plan there are additional school district forms that parents must fill out for medication to be given to children. Portables have a First Aid Kit in the cabinet which is labeled with a sign. The cleaning supplies are kept in the high cabinet out of reach of children.

There is a carbon monoxide and smoke detectors that are connected to the elementary school and are tested by the school district through-out the year. The last annual maintenance on the Fire Extinguisher was on August 2, 2023.

In the portable, the children's restrooms have 2 toilets. The 2 child-size sinks are located inside each of the restroom. One of the restrooms has a diaper changing table used for diaper storage. There are 2 water fountains inside the classroom. Children may bring water from home or water is provided by the facility. The adult restroom is located near the kindergarten classrooms and will be used by staff only.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.



Director provided LPA with lead testing results that were conducted July, 2022.
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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2023
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: MT VIEW PRESCHOOL/CLAREMONT UNIFIED SCHOOL DIST.
FACILITY NUMBER: 198010850
VISIT DATE: 09/11/2023
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There is no napping equipment in the State Preschool as it is a 3-hour program and children do not nap.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

No citations were issued during today’s visit.

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

Exit interview conducted and report was reviewed with the Director, Mariana Sanchez.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Carolyn TubaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2023
LIC809 (FAS) - (06/04)
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