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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011061
Report Date: 12/08/2020
Date Signed: 12/08/2020 05:36:37 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:CELEBRATION KIDS, INC.FACILITY NUMBER:
198011061
ADMINISTRATOR:SARA GURLEYFACILITY TYPE:
850
ADDRESS:1101 ARROYO VERDE ROADTELEPHONE:
(323) 258-9890
CITY:SOUTH PASADENASTATE: CAZIP CODE:
91030
CAPACITY:86CENSUS: 65DATE:
12/08/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Sara GurleyTIME COMPLETED:
05:45 PM
NARRATIVE
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An unannounced Case Management - Deficiencies Inspection was conducted on this date by Licensing Program Analyst (LPA) Alanna Gontarek. Upon arrival, LPA met with Sara Gurley, Director/Owner, who guided LPA on a tour of the facility. Census was taken.

Beginning tour, at 9:44 a.m., during the inspection, LPA observed all classrooms (Classrooms #'s 1, 2, 3, 4, 5, 6, 7, and 8) to have not labeled expiration dates on food containers containing Cheeze-Its, Gold Fish, and Cheerios. Pictures taken of food containers in all rooms. LPA advised Director to have staff either label the containers with the expiration dates or use ZipLoc bags and have staff write the expiration dates on bags when removing food from its original containers.

During tour, at 9:53 a.m., LPA observed trash can lids to not be tight-fitting. LPA observed the trash cans to contain food waste. LPA observed all other classrooms (Classroom #'s 1,2, 4, 5, 6, 7, and 8) to not have tight-fitting lids or no lids at all. Pictures were taken.

The following are being cited in accordance to Title 22 of the California Code of Regulations. Please refer to 809D for documentation of deficiencies.

Exit interview was conducted with Sara Gurley, Director/Owner at 5:23 p.m. Appeal Rights and procedures 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: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020
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: CELEBRATION KIDS, INC.
FACILITY NUMBER: 198011061
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/08/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/15/2020
Section Cited

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101227 Food Services:
(a) In child care centers providing meals to children, the following shall apply: (19) All food shall be protected against contamination. Contaminated food shall be discarded immediately.
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 This requirement was not been met as evidenced by: LPA observed all classrooms (Classrooms #'s 1, 2, 3, 4, 5, 6, 7, and 8) to have not labeled expiration dates on food containers containing Cheeze-Its, Gold Fish, and Cheerios. This poses a potential health and safety risk to the children in care.
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LPA requested pictures of containers with labeled expiration dates from all 8 classrooms to be submitted via email.
Type B
12/15/2020
Section Cited

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101239 Fixtures, Furniture, Equipment and Supplies: (f)Solid waste... breeding place or food source for insects or rodents. (1)All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and
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 rodent-proof. This requirement was not met as evidenced by: LPA observed trash can lids to not be tight-fitting or no lid at all in all 8 classrooms. LPA observed the trash cans to contain food waste. This poses a potential health and safety risk to the 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: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2020
LIC809 (FAS) - (06/04)
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