198018992-6-20-2023-33-CC-CGRN-CSYSTP-20230620140951

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018992
Report Date: 06/20/2023
Date Signed: 06/20/2023 02:09:57 PM

Document Has Been Signed on 06/20/2023 02:09 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:	ALTADENA PRESCHOOL		FACILITY NUMBER:	198018992
ADMINISTRATOR:	HUDSON, REE		FACILITY TYPE:	850
ADDRESS:	743 E. CALAVERAS ST.		TELEPHONE:	(626) 396-5650
CITY:	ALTADENA	STATE: CA	ZIP CODE:	91001
CAPACITY:	37	CENSUS: 0	DATE:	06/20/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Patrica Guzman		TIME COMPLETED:	02:30 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) Crystal Green conducted an unannounced annual inspection and request to decrease capacity. LPA met with Coordinator of ECE, Patricia Guzman, who provided analyst a tour of the facility. This Preschool program operates on the same premises of Altadena Elementary School. The facility hours of operation are Monday – Friday from 7:45am – 10:45am and 11:15am to 2:15pm. This program is currently not in session. The first day of school will be August 11,2023. This preschool program currently is licensed to use classroom B102 and B110. No children were present during this inspection. The facility uses digital sign in and sign out for the parents. The following were observed during this inspection: Licensing staff observed the facility to be clean, safe, sanitary and in good repair. Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All toilets and hand washing facilities are in safe and sanitary operating conditions. Drinking water is access to children via water bottles and personal sippy cups. At this time, the nurses office is used as an isolation area. Parents are contacted immediately when children are determined to be ill and staff are ensuring that children with obvious symptoms of illness are not being accepted. The facility provides snacks and meals via the Pasadena Unified Food Program. Per Facility Representative, food is brought directly into the classroom. All kitchen, food preparation, and storage areas are clean, free of litter, rubbish, and rodents/vermin. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023

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: ALTADENA PRESCHOOL	FACILITY NUMBER: 198018992
	VISIT DATE: 06/20/2023

NARRATIVE

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The preschool program designated outdoor play area is access directly from classroom B110. LPA observed the outdoor area to be fully fenced and physically separated from the elementary school. Outdoor play equipment is in good condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe and is free of hazards. There is adequate shade available outdoors via a canopy and trees. Per Facility Representative, for the upcoming school year the preschool program will share their outdoor playspace with TK children enrolled in the elementary school. Prior to the start of the school year, the program will submit a outdoor waiver requesting to share the outdoor space on a staggered play schedule.

Staff Records are located off-site at Cleveland Elementary School. LPA will conducted a review at a later date. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file.

This facility provides Incidental Medical Services – IMS. LPA did not review storage of medication and equipment/supplies due to children currently not enrolled. 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

The Licensee has submitted a request to decrease the overall capacity of (37) by removing classroom B102. The facility capacity will be reduced to (24) children, which will operate out of classroom B110. Due to the designated preschool outdoor space will be shared with the TK elementary students, LPA consulted with the facility representative on the documentation needed to submit a waiver request for shared usage of the outdoor space on a staggered play schedule. LPA informed applicant that waivers are not automatically granted and will need to be review by the Regional Office for final approval. LPA obtained pictures of the outdoor play areas during this inspection. At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. An exit interview was conducted with the Facility Representative.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Crystal Green	TELEPHONE: (323) 980-4930
LICENSING EVALUATOR SIGNATURE:	DATE: 06/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023

LIC809 (FAS) - (06/04)

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