198018405-7-19-2019-33-CC-JMAZ-BE8UU5-20190719155259

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018405
Report Date: 07/19/2019
Date Signed: 07/19/2019 03:53:16 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:	KEYSTONE MONTESSORI PRESCHOOL		FACILITY NUMBER:	198018405
ADMINISTRATOR:	BHAGYA WIJEWARDANE		FACILITY TYPE:	850
ADDRESS:	7056 WASHINGTON AVE.		TELEPHONE:	(562) 303-7273
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90602
CAPACITY:	45	CENSUS: 19	DATE:	07/19/2019
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Bhagya Wijewardane, Director		TIME COMPLETED:	04:10 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	An unannounced Annual Random Inspection was conducted on this day by Licensing Program Analyst (LPA) Jacqueline Martinez. Facility is currently licensed for a capacity of 45 preschool children. LPA met with Bhagya Wijewardane, Director, who guided analyst on a tour of the facility. The program consists of a full day program in 4 rooms. The facility operates from Monday through Friday from 7:00am to 6:00pm. The indoors and outdoors of the facility were inspected. LPA observed 10 napping children with 1 Staff Member in the Adventure Room, 0 children in the Explorers Rooms, and 9 children in the Navigators Room with 1 Staff member. Teacher child ratios were observed and staff names recorded. Furniture and equipment was inspected for age appropriateness, good repair and free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. Napping equipment (cots) and bedding were inspected for good condition, appropriate storage and cleanliness. Children take their blankets and sheets home to wash weekly. Storage for children's belongings and isolation area were inspected. Ill isolation area is in the Director's office. Drinking water is readily available indoors for children to drink freely via children's individual sippy cups. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. First Aid supplies were reviewed and inventoried. LPA advised Director to include scissors, tweezers and a thermometer as part as the first aid kit. Food preparation and storage areas were observed to be clean, free of litter, rubbish and free of rodents and other vermin. Food is provided by the facility. The facility provides lunch and AM and a PM snack. Proper storage of food, beverages and snacks was reviewed. PAGE 1 OF 3

SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline Martinez	TELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KEYSTONE MONTESSORI PRESCHOOL	FACILITY NUMBER: 198018405
	VISIT DATE: 07/19/2019

NARRATIVE

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Incidental Medical Services (IMS). Incidental Medical Services (IMS) policy was discussed. The facility is not providing incidental medical services at the moment. However, an IMS plan has been submitted for review. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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.

AB1207: The following is a reminder that as of January 1, 2018, Health & 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. New employees shall have 90 days from date of employment to complete training as required. The training may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules at: http://www.mandatedreporterca.com/.

LPA advised that no children shall be left without the supervision, including visual supervision, of a teacher at any time.

LPA advised to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

There were no deficiencies cited during todays inspection. An exit interview was conducted with Bhagya Wijewardane, Director. A copy of this report and Notice of Site Visit was provided.

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.

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SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline Martinez	TELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019

LIC809 (FAS) - (06/04)

Page: 3 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: KEYSTONE MONTESSORI PRESCHOOL	FACILITY NUMBER: 198018405
	VISIT DATE: 07/19/2019

NARRATIVE

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LPA advised the Director the refrigerator used by children if shared with staff should have a label for staff's food. Food menus were posted in a place that is visible by the child’s authorized representative. All storage containers for solid waste, including moveable bins had tight-fitting covers that are kept on, and in good repair. All floors were observed to be clean and safe. Disinfectants, cleaning solutions, medications and other items that are dangerous to children, were inaccessible.

This facility has a waiver in place for the outdoor activity space which has a different address from the facility. The playground has public access from Friends Ave. The waiver allows the facility to use the playground at at different address.

Outdoor play equipment was inspected for safety, free of sharp, loose pointed parts, good repair and age appropriateness. The surface of the outdoor activity area was observed to be maintained in a safe condition, and free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. Required shade, drinking water and fencing were inspected. Drinking water is made available outdoors for children to drink freely via a water jug and their sippy cups. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards were observed.

Children's records were reviewed as well as a sampling of children’s emergency information. Staff files were also reviewed.

All staff is fingerprint cleared. Staff #1 and Staff #2 provided proof of current Pediatric First Aid and CPR certification.

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SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline Martinez	TELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019

LIC809 (FAS) - (06/04)

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