198015307-10-19-2022-33-CC-BBAT-CKCV93-20221019161340

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198015307
Report Date: 10/19/2022
Date Signed: 10/19/2022 04:13:51 PM

Document Has Been Signed on 10/19/2022 04:13 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:	COLONIAL HOUSE PRESCHOOL		FACILITY NUMBER:	198015307
ADMINISTRATOR:	JOANNA HAWKINS		FACILITY TYPE:	850
ADDRESS:	1124 MISSION STREET		TELEPHONE:	(626) 403-6554
CITY:	SOUTH PASADENA	STATE: CA	ZIP CODE:	91030
CAPACITY:	60	CENSUS: 25	DATE:	10/19/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Teacher, Miranda Perez		TIME COMPLETED:	04:30 PM

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Licensing Program Analyst (LPA) Bardo Baluyot conducted an unannounced Required Annual site inspection. Upon arrival LPA conducted a COVID risk self-assessment and met with Teacher, Miranda Perez who guided analyst on a tour of the facility. This is a preschool program with two part time programs and one full time program which consists of 4 classrooms.

All areas identified on the Facility Sketch were inspected. LPA observed 25 children with 3 staff. Classes were combined for nap time on the second floor. There was one child in a downstairs classroom with 2 speech therapists. Per staff, therapist appointments are typically one day each week.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Office Manager stated that hazardous items such as cleaning products and medication are locked in the off limits cabinet by the the main day care area. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All toilets and hand washing sinks are safe, sanitary and are operating properly. All floors are clean and safe.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. All children bring personalized water bottles which are refilled by staff when needed. The facility was observed to be free of flies, other insects and rodents.

Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022

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: COLONIAL HOUSE PRESCHOOL	FACILITY NUMBER: 198015307
	VISIT DATE: 10/19/2022

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All individuals present have obtained a criminal record clearance or criminal record exemption. Teacher, Anabel Schmid's CPR and Pediatric First Aid were reviewed and expire on 6/29/2023. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence is on file. Educational background, training, and/or experience for each staff present are on file and were reviewed.

Children’s records/files were reviewed and found to be complete. No staff files were reviewed during today's visit as they are locked in Director's office who was not present during today's inspection.

Snack menus are posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. This facility offers AM snack and PM snack to the children depending on the type of program. Children that attend full time bring their own lunch from home. Snacks are prepared in the small kitchen on the first floor.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

There were no deficiencies cited during today's inspection.

Exit interview conducted and report was reviewed with Teacher, Miranda Perez.

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.

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

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: 10/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022

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: COLONIAL HOUSE PRESCHOOL	FACILITY NUMBER: 198015307
	VISIT DATE: 10/19/2022

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

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2022

LIC809 (FAS) - (06/04)

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