198014458-8-9-2023-54-CC-KCHE-CUJPCZ-20230809111246

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198014458
Report Date: 08/09/2023
Date Signed: 08/09/2023 11:12:57 AM

Document Has Been Signed on 08/09/2023 11:12 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	ST. HELEN PRE-KINDER		FACILITY NUMBER:	198014458
ADMINISTRATOR:	CLAUDIA SANDOVAL		FACILITY TYPE:	850
ADDRESS:	9329 MADISON AVENUE		TELEPHONE:	(323) 566-5491
CITY:	SOUTH GATE	STATE: CA	ZIP CODE:	90280
CAPACITY:	18	CENSUS: 0	DATE:	08/09/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Guadalupe Castanonl, Principal		TIME COMPLETED:	11:30 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	On 08/09/2023 at 9:25 AM an unannounced Required – 1 Year Inspection was conducted by Licensing Program Analyst (LPA) Katrina Chicote. Facility is currently licensed for a capacity of 18. Licensing staff announced purpose of visit and initially met with Guadalupe Castanon, Principal, and Claudia Sandoval, Director, who granted entry to facility and provided guided tour of facility both indoors and outdoors. Facility is located on St. Helen School campus in Pre-Kinder Room. Facility hours of operation are Monday thru Friday 7:30 AM to 2:30 PM. LPA observed required postings on bulletin board in classroom. There is a waiver for use of the Outdoor Play space as indicated on comments section on license. LPA provided LIC 126 to Facility Representatives (FR) during inspection. At the initial start of the site visit, there were no children present at time of inspection. Per Principal, facility is still closed for Summer break and currently only has staff present though children will be attending on 08/16/2023. Principal states that there are currently 18 preschoolers enrolled. Beginning at 9:33 AM, furniture and equipment were inspected for age appropriateness and good repair. LPA observed surface of classroom to be safe and clean, and child size tables and chairs available for children well maintained. LPA observed learning stations for dramatic play, math, and science with toys well maintained free of loose and sharp parts and a library area available for quiet play. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. Mats/cots were inspected, LPA observed storage for mats in closet in bathroom. Per Director, linens are provided by the families and taken home weekly for washing. Availability of drinking water was reviewed. LPA observed operable drinking fountain available for children and Director states that children are also able to bring personal water bottles. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPA observed bathroom available in classroom that had two toilets and one sink. Report Continues - Page 1 of 4

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 07/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ST. HELEN PRE-KINDER	FACILITY NUMBER: 198014458
	VISIT DATE: 08/09/2023

NARRATIVE

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At 9:35 AM, LPA inventoried first aid kit for necessary supplies which LPA observed is kept in a bin inside classroom. At 9:36 AM, LPA tested dual smoke and carbon monoxide detectors in facility which were observed to be operable at time of inspection. LPA observed Fire extinguishers present at the facility which have been serviced on 03/31/2023. LPA discussed disaster drills and requirement to log drills at time of inspection. Sick/isolation area will be in Principal's Office. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. LPA observed these items stored in low cabinet with operable child safety locks at time of inspection. Per Director, additional cleaning solutions are stored in teacher closet that is inaccessible to children in care.

Snack/lunch menus were discussed and LPA observed there is an area on bulletin board in classroom to post menus. Food preparation areas were toured for safety, cleanliness and proper equipment. Per Director, facility provides AM/PM Snack and lunch an option to purchase, though children are welcome to bring their own lunches. LPA discussed requirement to have children's lunches be clearly labeled with child's name and must be properly stored.

At 9:32 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. Required shade and fencing were inspected. LPA observed outdoor play area designated for preschool program to have perimeter fencing around area separating from school population. LPA observed large multi-level play structure with slides and climbing equipment with cushioning material below to absorb fall that are free of hazards and well maintained. LPA advised FRs that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. Per FR, the children will have access to their water bottles during outside play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

Teacher-child ratios were discussed and staff names recorded. Care and supervision were discussed to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. Personal Rights of children were discussed by LPA.

Beginning at 10:05 AM, staff records were reviewed for completeness. Inspection of required forms was made and documented on the LIC 859. Criminal Record Clearances were reviewed for adults. CPR card expires on 08/08/2025 for Director. Inspection of required forms made. AB1207 Mandated Reporter training requirement was discussed with Principal. Children's records were discussed with Principal.

Report Continues - Page 2 of 4

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ST. HELEN PRE-KINDER	FACILITY NUMBER: 198014458
	VISIT DATE: 08/09/2023

NARRATIVE

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Incidental Medical Services:
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

CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE
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.

LPA referred Facility Representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Licensee (or facility representative) was reminded that all adults 18 and over in the facility, 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 facility. 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.

Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.
Report Continues - Page 3 of 4

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC809 (FAS) - (06/04)

Page: 3 of 7

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ST. HELEN PRE-KINDER	FACILITY NUMBER: 198014458
	VISIT DATE: 08/09/2023

NARRATIVE

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

Based on this information, the following deficiencies on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

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

Exit interview was conducted and report was reviewed with the Facility Representative, Guadalupe Castanon.

Report Ends - Page 4 of 4

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC809 (FAS) - (06/04)

Page: 4 of 7

Document Has Been Signed on 08/09/2023 11:12 AM - 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ST. HELEN PRE-KINDER	FACILITY NUMBER: 198014458
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA interview, Principal states they have not yet had their water sources for drinking or food prep tested for lead. This poses a potential health, safety, and personal rights risk to children in care.
	POC Due Date: 09/08/2023
	Plan of Correction
1 2 3 4	FR states that she will schedule the appointment to get water tested and submit the confirmation email to LPA by POC date. FR states that they do provide filtered water and water bottles to children for drinking water.

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: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC809 (FAS) - (06/04)

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