198015614-7-16-2019-33-CC-CRES-BE5UUD-20190716155321

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198015614
Report Date: 07/16/2019
Date Signed: 07/16/2019 03:53:27 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:	COVINA EDUCATIONAL CENTER STATE PRESCHOOL		FACILITY NUMBER:	198015614
ADMINISTRATOR:	VANESSA BURGUENO		FACILITY TYPE:	850
ADDRESS:	160 N. BARRANCA		TELEPHONE:	(626) 974-4204
CITY:	COVINA	STATE: CA	ZIP CODE:	91723
CAPACITY:	48	CENSUS: 0	DATE:	07/16/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Judy Gonzales		TIME COMPLETED:	04:15 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	This is a Case Management Inspection conducted by Cynthia Reyes, LPA who met with Judy Gonzales, Assistant Principal. The purpose of this Inspection is to inspect and measure an additional class room for increase in capacity determination. Applicant is requesting to increase to 72 from 48 preschool children. This K1 class room will operate full time M-F 630 am to 6 PM. Room K2 and K3 will operate the same as it has been M-F with an AM session 830-11 am, and no PM session at this time. However when a PM session is added it will run from 1230-330 PM. K2 and K3 rooms and outdoor activity space were not remeasured as this preschool facility is just adding a room (K1) to increase the capacity. K1 (full time program) will provide an AM and PM Snack and parents can bring the child lunch or they have an option to buy lunch from the cafeteria on this campus. Lunch menu will be posted in the class room and provided to the parents each month. Drinking water is accessible in the class as this K1 class has 4 sinks all with water fountain to drink from. Cots for napping were observed to be stored in this class room and sheet and blanket will be washed by the school each week. Children cubbies were observed for each child and will house each of the child own belongings including blankets. Everything else for the Pre-School (Rooms K1, K2 & K3) will be exactly the same.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019

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: COVINA EDUCATIONAL CENTER STATE PRESCHOOL	FACILITY NUMBER: 198015614
	VISIT DATE: 07/16/2019

NARRATIVE

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Fire Marshall has approved and submitted the approval for 72 preschool children.

LPA did not observe any corrections needed. License is approved for the requested 72 preschool children.

Exit interview was conducted with Judy Gonzales, Assistant Principal. Appeal rights explained. New license will be mailed to the facility once approved to reflect the new capacity. Signature on this form acknowledges receipt of these forms. Notice of site visit was given with no citations.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019

LIC809 (FAS) - (06/04)

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