<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015514
Report Date: 03/03/2020
Date Signed: 03/03/2020 03:55:58 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:BPUSD - NORTH PARK HIGH SCHOOLFACILITY NUMBER:
198015514
ADMINISTRATOR:JERRI SANDELLFACILITY TYPE:
830
ADDRESS:4600 N. BOGART AVENUETELEPHONE:
(626) 962-3311
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY:40CENSUS: 15DATE:
03/03/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Rebecca Jimenez-Barlow, Early Head Start Program ManagerTIME COMPLETED:
04:12 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
An unannounced Annual Required Inspection was conducted on this day by Licensing Program Analysts (LPA) Lissete Gonzalez and Alanna Gontarek in accordance with Community Care Licensing (CCL) Title 22 Division 12 Chapter 1, governing Infant Child Care Centers. Facility is currently licensed for a capacity of 40 infants. This is an infant center with a toddler option. Licensing staff met with Head Teacher Sara Barron who guided LPAs on an indoor and outdoor tour of the facility. At 3:15p.m., Rebecca Jimenez-Barlow, Early Head Start Program Manager, arrived to complete the inspection.

During the site inspection, there was a total census of 3 infants napping, and one infant awake with two teachers in the Wobblers Room, 6 napping toddlers with two teachers in the Toddlers Room, and 5 infants with three teachers in the Infant Room for a total census of 15 infants with 7 teachers present.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for infants’ belongings and napping equipment/cribs was inspected and meet all regulatory requirements. Availability of drinking water was observed in each classroom. The children have their own labeled sippy-cups and baby bottles in the Infant Room. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, area safety and sanitation. Changing tables have raised sides at least three inches high and is within arm’s reach of a hand washing sink. Toys observed to be clean.



A first aid kit is kept in each classroom. Carbon monoxide detectors and smoke detectors are present in the facility but were not tested as children were napping. Fire extinguishers were serviced on July 8th, 2019. Storage cabinet in classrooms containing hazardous items including poisonous cleaning compounds were locked and inaccessible to children.

Facility provides bedding materials which are laundered at the facility daily. Food preparation areas were ****REPORT CONTINUES ON NEXT PAGE: 1 OF 3****
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: BPUSD - NORTH PARK HIGH SCHOOL
FACILITY NUMBER: 198015514
VISIT DATE: 03/03/2020
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
26
27
28
29
30
31
32
toured for safety, cleanliness and proper equipment. The facility provides breakfast, lunch, A.M., P.M. snacks that are prepared and provided by the district cafeteria.

Outdoor playgrounds (fully fenced) and equipment were inspected for safety, cushioning material, good repair and appropriateness. Required shade, drinking water and fencing were inspected. LPAs observed Wobblers and Toddlers to have accessible drinking water via a water jug and disposable cups. LPAs advised Lead Teacher that children in the Infant room should use their own sippy-cups with their name written on the cups when outdoors (no children observed outdoors during tour). Play area was inspected for hazards and inaccessibility to bodies of water. No hazards or bodies of water observed. LPAs advised Director that indoor and outdoor supervision required at all times.

Teacher-infant ratios were observed and staff names recorded. Care and supervision were evaluated to determine if the basic needs of infants were met and appropriate. Infant Needs and Assessments are done quarterly. Sign-in and out sheets and procedures were reviewed. Personal Rights of infants were observed by LPAs.

Staff and Children’s Records were not reviewed as student and staff files are kept at the Early Childhood Education Center (ECE) located at 13307 Francisquito Ave., Baldwin Park, CA. Staff are qualified, fingerprint cleared, and certified in Pediatric First Aid and CPR as a condition of employment. Sampling of children's emergency information reviewed and appear to be current.

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


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.
****REPORT CONTINUES ON NEXT PAGE: 2 OF 3****
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: BPUSD - NORTH PARK HIGH SCHOOL
FACILITY NUMBER: 198015514
VISIT DATE: 03/03/2020
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
26
27
28
29
30
31
32
The following was discussed with Early Head Start Program Manager:
Rooms that are off-limits need to be made inaccessible during operating hours. Smoking is prohibited. No infant walkers, no Johnny Jumpers, no excersaucers or any other item that falls into that category are allowed in facility.

LPAs advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Sudden Infant Death Syndrome (SIDS) and Never-Shake-a-Baby were discussed. A hard copy of A Child Care Provider’s Guide to Safe Sleep was provided.

Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Disaster drill log notes last drill was conducted on 2/28/20. Role and responsibilities of being a Mandated Reporter were reviewed. The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. Director was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care.

LPAs advised that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. Licensing forms can be accessed on the CCL website: www.ccld.ca.gov, including LIVE SCAN application. Records for all children and staff must be maintained for three (3) years after separation from the facility.

LPAs 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. Director advised to visit www.shotsforschool.org for immunization information.


There were no deficiencies cited during today's visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

Exit interview was conducted with Rebecca Jimenez-Barlow, Early Head Start Program Manager. A copy of the report and appeal rights were provided and discussed. ****END OF REPORT: PAGE 3 OF 3****
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3