198015307-11-1-2024-33-CC-SSAN-DALP46-20241101105837

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198015307
Report Date: 11/01/2024
Date Signed: 11/01/2024 10:59:49 AM

Document Has Been Signed on 11/01/2024 10:59 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	COLONIAL HOUSE PRESCHOOL		FACILITY NUMBER:	198015307
ADMINISTRATOR/ DIRECTOR:	JOANNA HAWKINS		FACILITY TYPE:	850
ADDRESS:	1124 MISSION STREET		TELEPHONE:	(626) 403-6554
CITY:	SOUTH PASADENA	STATE: CA	ZIP CODE:	91030
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 62	CENSUS: 19	DATE:	11/01/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:15 AM
MET WITH:	Sara Garrido		TIME VISIT/ INSPECTION COMPLETED:	11:30 PM

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On 11/01/24 at 8:30 am ,Licensing Program Analyst (LPA) Shushanik Safaryan conducted an unannounced annual random inspection. Upon arrival , LPA met with Facility Representative , Sara Garrido , Administrator , who guided the LPA on a tour of the facility. This is a preschool age program which operates Monday through Friday from 07:30 AM to 5:30PM. Program consists of 5 classrooms. Per Facility Representative there are 62 children enrolled.

LPA observed all required forms/publications posted by the entrance visible to the parents .

All the classrooms were inspected . Per Facility Representative , facility utilize only 3 classrooms downstairs, one classroom upstairs is not in use . LPA observed cots on the second floor , per representative children enrolled in the full time program nap upstairs . During the inspection, LPA observed 19 children with 5 staff members in outdoor play area . No children were observed in the rooms .Teacher child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. Licensed facility is within the conditions, limitations, and capacity specified on the license.

The classrooms furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. All classrooms were inspected to ensure that the floors have a surface that is safe and clean. All materials and surfaces accessible to children are toxic free. Facility have bathrooms upstairs and downstairs. All toilets and washing facilities are in safe and sanitary operating conditions.

First Aid supplies are available and complete and stored on the first floor.

Napping equipment and bedding were inspected for good condition, appropriate storage, and cleanliness. Storage for children's belongings was inspected. Facility washes linens every week. LPA observed laundry room on the second floor.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024

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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: COLONIAL HOUSE PRESCHOOL	FACILITY NUMBER: 198015307
	VISIT DATE: 11/01/2024

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LPA observed that there are functioning smoke and carbon detectors in the facility. LPA observed a fully charged and serviced fire extinguisher with the service date 04/24/24. Emergency disaster drill was last conducted on 10/17/24. Facility representative states there are no weapons, firearms, or bodies of water on the premises.

Snack menus are posted one week in advance by the front entrance where it is visible by the child's authorized representative. Facility has small kitchen on the first floor where snacks stored in the cabinets and perishables in the refrigerator . Snacks were reviewed for availability, quantity, and appropriateness to children in care. The facility provides AM and PM snacks , children bring their own lunch .

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. Drinking water is readily available both indoors and outdoors, children bring their own water bottles too. The facility was observed to be free of flies, other insects, and rodents.

The staff office area and staff restroom are used for the ill children. Cots are available upon request.

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, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard.

LPA observed sign in and out sheets outside on the table, separate for each class. Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day.

Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. Inspection of required forms was made and documented on the LIC 857.

LPA reviewed staff records; staff files were complete. Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024

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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: COLONIAL HOUSE PRESCHOOL	FACILITY NUMBER: 198015307
	VISIT DATE: 11/01/2024

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There is at least one person trained in CPR and Pediatric First Aid present during this inspection. The review of Staff records was documented on the LIC 859. Staff present had proof of the AB 1207 Mandated Reporter Training certificate on file.AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018, any person who works in a childcare facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.

SB792 (Immunization Requirements for Staff and Employees) was discussed with the Director.

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA 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/.

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

Facility Representative 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.

Based on the LPA`s observations and record review the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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

Exit interview conducted and report was reviewed with facility representative Sara Garrido on 11/01/24.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2024

LIC809 (FAS) - (06/04)

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