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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018992
Report Date: 08/21/2019
Date Signed: 08/21/2019 03:23:08 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:ALTADENA PRESCHOOLFACILITY NUMBER:
198018992
ADMINISTRATOR:HUDSON, REEFACILITY TYPE:
850
ADDRESS:743 E. CALAVERAS ST.TELEPHONE:
(626) 396-5650
CITY:ALTADENASTATE: CAZIP CODE:
91001
CAPACITY:37CENSUS: 5DATE:
08/21/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Legia CrainTIME COMPLETED:
03:40 PM
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Licensing Program Analyst (LPA) Ariel Cazares conducted an unannounced annual/random inspection on this date. LPA met with Teacher Legia Crain. Upon arrival LPA observed 5 children in care and 1 additional staff.

LPA inspected all areas used by the daycare children. The facility is located on the school campus of Altadena Elementary in Classrooms #102 & #110. Access can be gained through the main entrance of the school during school hours. The facility operates an AM session from 7:45-10:45 in room #110 and a full day program from 7:45-2:45.

Furniture and equipment were inspected for age appropriateness and good repair. LPA observed age appropriate play equipment for children. Children have their own cubby to store their belongings. Children's restrooms are located in classroom #110 and for classroom #102 they are located directly across the hall. LPA inspected restrooms and found them to be clean and stocked with supplies for children to use. Drinking water is available via water fountains in #110 and water bottles and cups in #102. There are emergency supplies and first aid kit in the classrooms. LPA observed a carbon monoxide detector in each classroom and tested them, finding them to be in operable condition. Children are provided meals and snacks through the school's cafeteria.

The preschool has its own separate playground adjacent to the classroom. The outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade and fencing were inspected. Outdoor drinking water is available via water fountains.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019
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: ALTADENA PRESCHOOL
FACILITY NUMBER: 198018992
VISIT DATE: 08/21/2019
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According to teacher, medication is stored in a cabinet in the classroom . Currently there are no children in care with medication needs. The ill isolation area is located in the nurses station but an area can be set up in the classroom separately from other children.

LPA reviewed children's files on site and found them to be complete. Staff files are kept off-site at the main office at 524 Palisade St., Pasadena CA 91103.



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

No deficiencies were observed or cited on this inspection.

Exit interview conducted with Teacher Legia Crain. A copy of this report 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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019
LIC809 (FAS) - (06/04)
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