198016427-11-5-2019-33-CC-CGRN-BHMR6E-20191105114438

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016427
Report Date: 11/05/2019
Date Signed: 11/05/2019 11:44:43 AM

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:	CHILD EDUCATIONAL CTR. CO-OPERATIVE PS AT CALTECH		FACILITY NUMBER:	198016427
ADMINISTRATOR:	PATRICIA LOEBS		FACILITY TYPE:	850
ADDRESS:	250-56 SOUTH MICHIGAN AVENUE		TELEPHONE:	(818) 354-3418
CITY:	PASADENA	STATE: CA	ZIP CODE:	91106
CAPACITY:	38	CENSUS: 15	DATE:	11/05/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Patricia Loebs		TIME COMPLETED:	11:45 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	Licensing Program Analysts (LPAs) Crystal Green and Bardo Baluyot conducted an unannounced annual inspection. Upon arrival, LPAs met with Patricia Loebs, Director. LPAs was guided on a tour of the facility. This is parent co-operative program serving children ages 2.6 months to 5 years old. There is school age program operating on the same site License #198001578. Preschool program operates from 8:30AM to 11:30 AM. Licensing staff toured the indoor classroom. Per Director, the preschool program curriculum is mainly conducted outdoors using different outdoor activities. During this inspection, LPAs observed 15 preschoolers participating in outdoor activities with 4 staff members and 3 volunteer parents. Staff names were recorded. The facility was observed to be meeting the required teacher child ratio. Sign in and out sheets was 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. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. The ill isolation area is located in the director's office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. Smoke detectors were tested indoors and are operational. Outdoor playground equipment is in good condition, free of sharp, or pointed parts. The surface of the outdoor activity space is maintained in a safe and is free of hazards. There is adequate shade provided in the play yard. LPAs observed water igloos with cups available outdoors so that the children may drink freely. Due to this program being a half day program, this facility provides only AM snack. Food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. Food preparation areas were inspected for cleanliness. Menus were observed to be posted and available for review. Disaster drill log was available, last drill was conducted in 9/2019. Report Continues Page 1 of 2.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019

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: CHILD EDUCATIONAL CTR. CO-OPERATIVE PS AT CALTECH	FACILITY NUMBER: 198016427
	VISIT DATE: 11/05/2019

NARRATIVE

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Staff Records were obtained during this inspection from the facility main site located in La Canada and was reviewed to ensure that each file contains Qualifications and verification of CPR/First Aid and completion of Mandated Reporter Training. Children’s Records was reviewed to ensure that each child has an Emergency and Identification form on file.

This facility provides Incidental Medical Services- IMS. Per Director, there are no children enrolled that required IMS. 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

No deficiencies are being cited in accordance with California Code of Regulations Title 22.

Exit interview was conducted with Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Report Ends Page 2 of 2.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 854-8930
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2