198016753-6-30-2023-54-CC-AESA-CTAR2Q-20230630123843

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016753
Report Date: 06/30/2023
Date Signed: 06/30/2023 12:39:01 PM

Document Has Been Signed on 06/30/2023 12:39 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	VALLEY CHRISTIAN PRESCHOOL-GRAND		FACILITY NUMBER:	198016753
ADMINISTRATOR:	SARA RAMIREZ		FACILITY TYPE:	850
ADDRESS:	17408 GRAND AVENUE		TELEPHONE:	(562) 263-3030
CITY:	BELLFLOWER	STATE: CA	ZIP CODE:	90706
CAPACITY:	60	CENSUS: 17	DATE:	06/30/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Director Sara Ramirez		TIME COMPLETED:	12:55 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 (LPA) Austin Estrada conducted an unannounced annual required inspection at the above facility. LPA met with Director Sara Ramirez, who guided analyst on a tour of the facility. This site is located on the campus of Valley Christian Elementary School. It operates at this location during the summer months (June and July) for preschool age children that would normally attend the Ramona Avenue site (198014268). This preschool program operates Monday through Friday 7:00 AM - 6:00 PM. The facility has a total of five classrooms, but was only using three classrooms at the time of inspection. LPA observed 7 children supervised 2 staff in room 1, 4 children supervised by 1 staff in room 2, and 6 children supervised by 1 staff in room 4. Classrooms 3 and 5 were not in use at the time of inspection. Teacher child ratios were observed, and staff names recorded. The following was observed during the tour of the facility: LPA toured all classrooms. Each classroom was observed to be clean and in good repair. The floors were clean, and lighting was in operable condition. There were age appropriate toys and equipment. LPA observed water readily available via water pitchers in each classroom. Each child brings their own water bottle which is labeled with their names. LPA observed cubbies/storage area for children to store their personal belongings. Disinfectants and cleaning solutions were observed to be inaccessible to children in care. LPA observed a central fire alarm system throughout the facility and observed operating carbon monoxide detectors in each classroom. LPA observed a fire extinguisher indicated fully charged last serviced on 6/21/23. First Aid kit was observed and inventoried. Napping equipment and bedding were inspected and found to be clean and in operable condition. Per Director, children bring their own sheets which are taken home to be washed weekly. The isolation area for ill children in is classroom 4 near the Directors desk. LPA observed a mat available for ill children if needed. Ill children will use a separate restroom near classroom 4 if needed. Per Director there are no poisons stored at the facility. LPA observed medication in classroom 1 and classroom 2 which were made inaccessible to children in care. LPA observed medication not to expired and labeled with the child’s name with instructions on how to use the medication if needed. LPA toured the outdoor play area. Outdoor area was observed to have age-appropriate toys and material for children, free of loose, sharp, and/or pointed parts. Per Director, children bring their

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin Estrada	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

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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Document Has Been Signed on 06/30/2023 12:39 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VALLEY CHRISTIAN PRESCHOOL-GRAND	FACILITY NUMBER: 198016753
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/30/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above: LPA did not observe or receive any documentation regarding lead testing which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/28/2023
	Plan of Correction
1 2 3 4	Director will provide documentation of scheduled lead testing or test results to LPA via email by POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin Estrada	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VALLEY CHRISTIAN PRESCHOOL-GRAND	FACILITY NUMBER: 198016753
	VISIT DATE: 06/30/2023

NARRATIVE

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water bottles while outdoors. LPA observed an outdoor filtered water system that children may use while outdoors. LPA observed required shade in the outdoor area and there are no bodies of water on the premises. The restroom that children use is located outside near preschool classroom 4. Per Director children are supervised to and from the restroom. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, area safety and sanitation. Per Director, children bring their own lunch from home and the facility provides morning and afternoon snacks. Per Director, staff looks through lunches daily to make sure all children brought lunch. If a child forgot to bring lunch, staff will contact the parent/guardian of the child to have them deliver lunch. LPA observed the kitchen area and food storage area to be clean and free of litter, rubbish, rodents, and/or any other vermin. LPA observed refrigerator to be clean and in operable condition. LPA observed items in the refrigerator not to be expired. Food that was not in the original packaging were sealed and labeled with an expiration date. During the inspection, children present was observed to be treated with dignity and respect, observed to be receiving safe, healthful, and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.LPA observed required posted documentation which included, Facility License, LIC610- Emergency Disaster Plan, Publication (PUB) 393- Notification of Parent Rights, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights and Lunch/Snack Menus. LPA observed Sign in/out sheets, LIC 9148 Earthquake Preparedness, Daily Activity Schedule, and Verification of Disaster and Fire Drills (last conducted 6/6/23). Children’s records were reviewed for LIC 613A- Personal Rights, Admission Agreement, Immunization Records, LIC 700- Identification and Emergency Information, LIC 701- Physician’s Report, LIC 627- Consent for Medical Treatment, and LIC 995A Notification of Parents’ Rights. All records were observed to be complete. Staff records were reviewed for approved Pediatric First Aid and CPR certification, staff qualifications, LIC 508-Criminal Record Statement, LIC 503- Health Screening Report, LIC 9052- Employee Rights, Proof of immunizations against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, and LIC 9108- Statement of Child and Mandated Reporter Training Certificate. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. LPA did not observe immunization records (measles, pertussis, and tuberculosis) and LIC 503 for staff 2 (S2). LPA advised Director that staff should have all records available for review during the inspection. Director will have S2 complete LIC 503 and provide immunization records.
Director is unaware if the facility completed the lead testing requirement. Director will provide information of lead testing results to LPA if completed. Director will schedule a water lead test if needed.
Please visit the Lead Toxicity Prevention and Water Testing Information website for additional information and resources regarding lead testing in licensed childcare centers by visiting the following weblink:

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin Estrada	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VALLEY CHRISTIAN PRESCHOOL-GRAND	FACILITY NUMBER: 198016753
	VISIT DATE: 06/30/2023

NARRATIVE

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https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information. For any additional questions, please email: CCCWaterTesting@dss.ca.gov.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website atwww.cdss.ca.gov/inforesources/community-care-licensing/process.
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
Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
Based on the LPA’s observations, interviews and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety. Deficiencies include one type B violation.
A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview was conducted and report was reviewed with the Director. Appeal rights were discussed and provided to Director.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 9813362
LICENSING EVALUATOR NAME: Austin Estrada	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

LIC809 (FAS) - (06/04)

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