198013241-10-20-2022-33-CC-BBAT-CKDVWR-20221020164823

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198013241
Report Date: 10/20/2022
Date Signed: 10/20/2022 04:48:31 PM

Document Has Been Signed on 10/20/2022 04:48 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:	ANGELA PRESCHOOL KINDERGARTEN		FACILITY NUMBER:	198013241
ADMINISTRATOR:	BAOJUAN XU		FACILITY TYPE:	850
ADDRESS:	5708-5714 N. MUSCATEL AVE.		TELEPHONE:	(626) 445-9288
CITY:	TEMPLE CITY	STATE: CA	ZIP CODE:	91775
CAPACITY:	121	CENSUS: 92	DATE:	10/20/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Director Jian Fang Wang		TIME COMPLETED:	05:00 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	Licensing Program Analyst (LPA), Bardo Baluyot conducted an unannounced Required Annual site inspection on this date. Upon arrival, LPA conducted a COVID risk self-assessment and met with Director Jenny Wang who guided the LPA on a tour of the facility. There were 92 children present. LPA toured the areas according to the facility sketch on file. No alterations have been made. There are a total of 6 classrooms and 1 activity room. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Facility provides sheets for the children which are washed every week. Personal bedding brought by children is taken home on Fridays to be washed. Napping equipment (cots) were observed in the classroom. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. Availability of indoor drinking water was observed in classrooms in form of water jugs or a water system installed in each classroom. Per director, the isolation room is located in the office. Isolation restroom for ill child is one of the two staff restrooms. LPA also reviewed fingerprint clearances, children and staff records. Sign in and out sheets were reviewed. Smoke and carbon monoxide detectors are hardwired into the facility. First Aid supplies were observed in the classroom in a cabinet in the classroom or a cabinet in the restroom. Medication brought in for children is kept in the office or if refrigeration needed can be kept in the kitchen.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022

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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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: ANGELA PRESCHOOL KINDERGARTEN	FACILITY NUMBER: 198013241
	VISIT DATE: 10/20/2022

NARRATIVE

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There are 4 outdoor playgrounds that are separated by age group. The outdoor equipment and space for each playground was inspected for safety, cushioning material, good repair and age appropriateness. Required shade and fencing were inspected and found to be adequate.

Kitchen observed to be in compliance. Meals and snacks are prepared on site. Food and snacks menu was reviewed for availability and appropriateness to children in care. A menu was observed in the office.

Teacher child ratios were observed to be in compliance. Care and supervision was evaluated to determine if the basic needs of children are met. All children are adequately supervised.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation 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
Per Director, there are currently no children with IMS.

No deficiencies were cited on this inspection.

Exit interview conducted and report was reviewed with the Director Jenny Wang.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022

LIC809 (FAS) - (06/04)

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