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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016427
Report Date: 08/30/2021
Date Signed: 08/30/2021 02:38:33 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:CHILD EDUCATIONAL CTR. CO-OPERATIVE PS AT CALTECHFACILITY NUMBER:
198016427
ADMINISTRATOR:PATRICIA LOEBSFACILITY TYPE:
850
ADDRESS:250-56 SOUTH MICHIGAN AVENUETELEPHONE:
(818) 354-3418
CITY:PASADENASTATE: CAZIP CODE:
91106
CAPACITY:38CENSUS: 0DATE:
08/30/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Erinn Levin and Tashon McKeithan TIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Crystal Green conducted an announced case management inspection to evaluate the licensee’s request to expand the operating hours of the preschool program. Due to COVID- 19 precautionary measures were taken, individuals present during inspection wore appropriate personal protective equipment. Licensing staff met with Director, Erinn Levin and Executive Director, Tashon McKeithan. Licensee is requesting to cease operating preschool program as a parent co-operative in order to operate as a full-day preschool program due to the pandemic and needs of the community. The Preschool program new hours of operation will be Monday to Friday 7am- 6pm.

This facility is currently not operating. No alterations have been made to the exterior or interior of the facility. Per Director, the preschool program curriculum will be mainly conducted outdoors using different outdoor activities. 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.


Furniture and equipment indoors 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. This full-day program will offer AM and PM snacks, lunch will be provided by the parents. The license capacity will remain (38) preschoolers.

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
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021
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: 08/30/2021
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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.

Exit interview was conducted with Director and Executive Director.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal GreenTELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021
LIC809 (FAS) - (06/04)
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