198018038-8-22-2019-54-CC-TTRN-BFAPZB-20190822114516

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018038
Report Date: 08/22/2019
Date Signed: 08/22/2019 11:45:34 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	MAOF-HS MARIPOSA		FACILITY NUMBER:	198018038
ADMINISTRATOR:	ROBERT HERNANDEZ		FACILITY TYPE:	850
ADDRESS:	120 E. 25TH ST.		TELEPHONE:	(323) 890-9600
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90011
CAPACITY:	45	CENSUS: 24	DATE:	08/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:05 AM
MET WITH:	Education Coordinator		TIME COMPLETED:	11:50 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 Analyst (LPA) Tiffanie Tran arrived at the above facility to conduct an annual random inspection in addition to the modification of the program by adding the toddler option attach to the preschool program. LPA met with Education Coordinator and about 8:40 AM we toured all areas accessible to children. LPA observed proper care and supervision during this inspection. All center staff that was present during today’s visit had fingerprint cleared and associated to the designated license number. The current capacity is 45. The facility requesting to reduce the capacity of the preschooler from 45 to 29 and adding the toddler option with the capacity of 16. The facility had sufficient indoor space with toilets and sinks to accommodate the 29 preschooler and 16 toddlers. However, the facility does not have separate outdoor space to accommodate the toddler option. By September 30, 2019, the facility will complete separating the preschool's yard to accommodate the toddler option children. Facility will send photo images to LPA once the project is completed. In the meantime, toddler children does not have access to the yard. Once the project is completed, the facility will have sufficient outdoor space for toddlers/ preschools children with required shade. LPA reviewed and obtained the facility current/updated Personnel Record (LIC 500). LPA reviewed facility's sketch which matched the physical plant of the facility. The Fire clearance was obtained for the preschool/toddler option. The hours of operation from 7:30 AM - 6:00PM, however, children's hours are from 8:00AM- 2:30PM Monday through Friday. LPA observed all posting requirements for operation on the posting board LIC 203A-License, LIC 610 A-Emergency Disaster Plan, LIC 9148-Earthquake Preparedness Check List, PUB 394-Notification of parent’s rights poster, LIC 613A- Personal Rights, PUB 269- Child Car Seat Law, Menus, Activity Schedule. The facility obtained current pediatric CPR and First Aid for all facility staff members. Children and staff records were reviewed and completed.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie Tran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MAOF-HS MARIPOSA	FACILITY NUMBER: 198018038
	VISIT DATE: 08/22/2019

NARRATIVE

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During this inspection, LPA observed a working telephone on the premises, heating, lighting and ventilation were evaluated. Furniture and equipment were inspected for age appropriateness and good repair. Napping equipment were observed to be clean and good condition. Adequate storage for children's belongings, bathrooms facilities, and separate area for isolation and care of ill children located in the office area. Availability of drinking water was observed water dispenser with cups. All trash cans had tight lids.
Documentation of current Fire/Earthquake disaster drill was observed on a monthly basis. First Aid supplies were inventoried and available. Sign in/out were observed. A review of medication policy, including properly labeled and stored in original container. During today’s inspection, per center staff states there were no children that required IMS during this time.

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
Per center staff, foods and snacks were delivered daily to the site from the outside vendor. An inspection of cleaning and food supply storage areas was made. Food preparation area was toured for safety, cleanliness, adequately equipped and inaccessible to children in care. Food and snack items are properly stored.

Preschool outdoor area observed to be fenced. Climbing structure, slides and apparatus equipment securely anchored and has cushioned with material that absorbs falls zone. Bikes were observed in good condition. LPA observed other educational materials were available for children to utilize. Play area observed free of miscellaneous debris or hazards and inaccessibility to bodies of water. Required shade and rest areas are provided, drinking water readily available and accessible to children. LPA reminded that it is the facility responsibility to know the regulations as well as anyone who assists in providing care. Site supervisor was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.cdss.ca.gov. LPA also advised to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations. LPA informed the Child Care Advocate Program (CCAP) provide many other helpful resources to the licensees and the public. Facility may also register on CCAP website for the new quarterly report to be notified. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541 Email Address: childcareadvocatesprogram@dss.ca.gov

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie Tran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MAOF-HS MARIPOSA	FACILITY NUMBER: 198018038
	VISIT DATE: 08/22/2019

NARRATIVE

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Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Existing licensees must meet requirements by March 30, 2018. New employees shall have 90 days from date of employment to complete training as required. This training requirement may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules. Website: www.mandatedreporterca.com

Facility was found to be in substantial compliance at the time of the site inspection.

Exit interview was conducted and copy of report was discussed and given to the noted person.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie Tran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

LIC809 (FAS) - (06/04)

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