<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017907
Report Date: 08/23/2021
Date Signed: 08/23/2021 03:14:33 PM

COMPREHENSIVE INSPECTION
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:INFANT CENTER OF LA VERNE UNITED METHODIST CHURCHFACILITY NUMBER:
198017907
ADMINISTRATOR:NIEVES, VALERIEFACILITY TYPE:
830
ADDRESS:3205 D STREETTELEPHONE:
(909) 596-5369
CITY:LA VERNESTATE: CAZIP CODE:
91750
CAPACITY:12CENSUS: 8DATE:
08/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Valaerie Nieves TIME COMPLETED:
02:00 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 Analyst (LPA) Seung Lee conducted an unannounced required inspection. Upon arrival LPA Lee met with Director Valaerie Nieves who provided a tour of the facility.

The infant program which consists of 1 classroom is located in the same building as the Preschool (#191504209. The facility is open Monday-Friday 6:30AM-6PM.

LPA Lee observed 8 infants being cared for by 3 staff members in the infant room. There was a changing table within arm's reach of a sink. There were age appropriate toys, equipment, and furniture. LPAs did not observe any hazards or violations in the classroom. LPA Lee observed that the napping area with cribs was separated from the classroom with a partition.



Snack and meal menu was observed near the entrance of the facility. This facility serves AM snack and PM snacks while lunch is brought from home. Facility was advised that All food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. 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. Drinking water is readily available both indoors and outdoors. The facility was observed to be free of flies, other insects and rodents. The outdoor play area is separate from the preschool play yard.

Staff and children records were reviewed during the inspection. LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
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 2
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: INFANT CENTER OF LA VERNE UNITED METHODIST CHURCH
FACILITY NUMBER: 198017907
VISIT DATE: 08/23/2021
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 Lee advised the Director to refer to the California Department of Health's guidance on child care centers to obtain the most updated information regarding safe and sanitary practices.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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. Currently there are no children in care with IMS needs.

No deficiencies were cited during today's inspection. Exit interview conducted with Director Valerie Nieves. A copy of this report and appeal rights were provided and explained.



The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result of a civil penalty of $100.00 dollars.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2