198018701-8-24-2022-33-CC-SLEE-CHLUJ4-20220824153655

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018701
Report Date: 08/24/2022
Date Signed: 08/24/2022 03:37:21 PM

Document Has Been Signed on 08/24/2022 03:37 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	NORTHRUP		FACILITY NUMBER:	198018701
ADMINISTRATOR:	PATICIA FIERRO		FACILITY TYPE:	850
ADDRESS:	409 S. ATLANTIC BLVD.		TELEPHONE:	(626) 677-4860
CITY:	ALHAMBRA	STATE: CA	ZIP CODE:	91801
CAPACITY:	40	CENSUS: 19	DATE:	08/24/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Gisella Jimenez		TIME COMPLETED:	03:00 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	An unannounced required Inspection was conducted on this day by Licensing Program Analyst (LPA) Seung Lee. Facility is currently licensed for a capacity of 40 children. LPA met with Gisella Jimenez, Lead Teacher who guided analyst on a tour of the facility. This is a Head Start preschool program which is operated by Plaza de la Raza and is located on the premises of Northrup Elementary School. Entrance to the facility is through Atlantic Blvd. The program consists of a full day program in Room 01 & Room 02 (8:15am-3:15pm) Monday through Friday. All areas identified on the Indoors and Outdoors Facility Sketch were inspected. LPA observed a total of 9 children with 2 Staff members in Room 01 and 10 children with 2 Staff members in Room 03. Teacher child ratios were observed and staff names recorded. Sign in and out sheets and procedures were reviewed. INDOORS: 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 home weekly to be washed. Storage for children's belongings and isolation area were inspected. Ill isolation area is in the teacher's main office. Drinking water is readily available indoors for children to drink freely via a water dispenser. Carbon monoxide detectors and smoke detectors are present. Age appropriate sinks (8) and toilets (4) were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. First Aid supplies were inventoried. A review of the medication policy, including administering, labeling, storage, and records was made.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

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: NORTHRUP	FACILITY NUMBER: 198018701
	VISIT DATE: 08/24/2022

NARRATIVE

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Food menus were reviewed. Food is provided by an outside vendor. Food and snacks were reviewed for availability, quantity and appropriateness for children in care. The facility provides, breakfast, lunch and an a PM snack to the full day program; breakfast and lunch to the AM Session and lunch and a PM snack to the PM Session. Food preparation area was toured for safety, cleanliness and proper equipment. All storage containers for solid waste, including moveable bins had tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects and rodents. Disinfectants, cleaning solutions, medications and other items that are dangerous to children, were inaccessible to children

OUTDOORS: The outdoor play yard is fully fenced and exclusively used by the Head Start Program. Outdoor play equipment was inspected for safety, free of sharp, loose pointed parts, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Drinking water was available outdoors for children to drink freely via a water jug. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards were observed. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall.

RECORDS REVIEW: Children's records were reviewed. Sampling of children’s emergency information was reviewed and appeared to be current. Staff files were not reviewed as staff files are kept at the facility Main Office and will be reviewed at a later date. If there are any deficiencies during that review, this report may be amended. Three (3) staff members provided proof of current Pediatric First Aid and CPR certification. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence is on file.

Incidental Medical Services (IMS). The 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. 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.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

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: NORTHRUP	FACILITY NUMBER: 198018701
	VISIT DATE: 08/24/2022

NARRATIVE

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During the inspection LPA Lee advised the facility to continue to comply with the latest guidelines from the CA department of public health of child care centers in regards to health and sanitation.

No deficiencies were cited during this inspection. An exit interview was conducted with Gisella Jimenez, Lead Teacher. 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.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022

LIC809 (FAS) - (06/04)

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