198016427-1-28-2022-33-CC-NTCG-CB4TMF-20220128135104

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016427
Report Date: 01/28/2022
Date Signed: 01/28/2022 01:51:21 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 CENTER PRESCHOOL AT CALTECH		FACILITY NUMBER:	198016427
ADMINISTRATOR:	ERINN LEVIN		FACILITY TYPE:	850
ADDRESS:	250-56 SOUTH MICHIGAN AVENUE		TELEPHONE:	(818) 354-3418
CITY:	PASADENA	STATE: CA	ZIP CODE:	91106
CAPACITY:	38	CENSUS: 8	DATE:	01/28/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Erinn Levin - Director		TIME COMPLETED:	02:10 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

Licensing Program Analysts (LPAs) Nolan Tcheng and David Kurdoglyan conducted an unannounced random annual inspection. Upon arrival at 11:40am, LPAs met with Director Erinn Levin. At 11:50am, LPAs were led on a tour of the facility. This is a preschool program which consists of 2 buildings. At this time only building addressed 250 S. Michigan Ave. is being used as a child care operation due to low enrollment. Building at 256 S. Michigan is currently used as storage. Per Administrator, there are currently 10 enrolled in the program. Hours of operation for this facility are 7-6pm, Monday-Friday.

Licensing staff observed all required forms/publications to be posted by the front door. Snack menus were reviewed to ensure that they are being posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request.

PHYSICAL PLANT: At 11:50am, LPAs entered and inspected 250 Building: 8 children with 2 staff members were present. Parent board was to the right of the main entrance. LPA observed COVID-19 protocols being upheld at entrance. At 11:53am, LPAs observed the storage of napping equipment. Napping equipment was observed to be mats. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All floors are clean and safe. 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. The facility was observed to be free of flies, other insects and rodents. Sufficient individual storage space for children was observed and each child has a cubby. Drinking water was readily available indoors. Children bring their own water bottles from home. Filtered water is available for refilling bottles. At this time, the front room or office is used as an isolation area. A mat is available for an ill child to rest on. First Aid supplies are available and complete. Facility has a functioning carbon monoxide detector that meets statutory requirements in the front room of building. REPORT CONTINUES PAGE 1 of 3.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022

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: CHILD EDUCATIONAL CENTER PRESCHOOL AT CALTECH	FACILITY NUMBER: 198016427
	VISIT DATE: 01/28/2022

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

Director states there are no weapons, firearms, or bodies of water on the premises. At 12:00pm, LPAs entered the kitchen area. All food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. Snacks were reviewed for availability, quantity and appropriateness to children in care. This facility provides AM and PM snack. Children provide their own lunch from home. A fire extinguisher was observed in the kitchen. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 03/23/2021, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. The children's bathroom is at the back of the building, before entering the backyard area. The bathroom was observed to be clean and safe and well stocked with supplies. All toilets, hand washing, and bathing facilities are safe, sanitary and are operating properly.

OUTDOORS: At 12:07pm, LPAs reviewed the outdoor play area. 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, swings, slides, and similar equipment are cushioned with material that absorbs a fall. The outside play area is a large yard. There is a grass area, basketball court on concrete, a play house, and dirt road used as a bike path for children. There is also a sand area for the children. Per director, the opening teacher inspects the sand area every morning for any animal feces or dangers.

FACILITY RECORDS: 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. Staff files were unable to be reviewed at the time of inspection. Staff files are held at Child Educational Center Human Resources office at the Mountain St. Office in Pasadena, where all staff files are stored for Child Educational Center licensed facilities. An inspection to review staff files at the Mountain St. location will be conducted at a later date. A random sample of Children’s Records were reviewed to ensure that they are complete.

INCIDENTAL MEDICAL SERVICES:

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
REPORT CONTINUES PAGE 2 of 3

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022

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: CHILD EDUCATIONAL CENTER PRESCHOOL AT CALTECH	FACILITY NUMBER: 198016427
	VISIT DATE: 01/28/2022

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

LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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.

Exit interview was conducted with Director Erinn Levin at 1:45pm, including copy of report.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022

LIC809 (FAS) - (06/04)

Page: 3 of 3