198019354-4-16-2024-54-CC-ACAN-D4DUCN-20240416152812

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019354
Report Date: 04/16/2024
Date Signed: 04/16/2024 03:28:22 PM

Document Has Been Signed on 04/16/2024 03:28 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	BELLFLOWER III CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	198019354
ADMINISTRATOR:	MAYRA RUBIO		FACILITY TYPE:	850
ADDRESS:	14527 BELLFLOWER BLVD		TELEPHONE:	(562) 991-1681
CITY:	BELLFLOWER	STATE: CA	ZIP CODE:	90706
CAPACITY:	48	CENSUS: 38	DATE:	04/16/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	MAYRA RUBIO/ ADMINISTRATOR		TIME COMPLETED:	03:35 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 Analysts (LPAs) Ashley Calderon and Jeanette Estrada conducted an unannounced random annual inspection and discussed incident that was reported to CCLD on 4/10/24. Facility is currently licensed for a capacity of 48. Licensing staff met with Mayra Rubio, Site Supervisor. The program currently operates Monday - Friday from 6:15 AM to 5:45 PM. LPA's along side with Mayra, was taken on a guided tour of the facility of both indoors and outdoors of the facility premises. The facility is made up of two classrooms, Classroom 1 and Classroom 2. LPA observed Classroom 1 to have Staff #1, #2, #3 with 16 preschoolers and Classroom 2 to have Staff #4, #5, #6 and #7 with 22 children. Both classrooms had a mix age of 3-5 year old children. In classrooms 1 and 2 furniture and equipment were inspected for age appropriateness and good repair in each classroom. Required postings were observed in office as well as each classroom. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. Children during classroom visit were resting on cots for nap/rest time. Per Site Supervisor, laundry is done for children's sheets: Thursday is for Classroom 1 and Classroom 2 on Fridays and blankets are sent home on Friday's. Availability of drinking water was reviewed, LPAs observed water filtration system available for each classroom, lead sample report was reviewed and facility did not have any lead exceedances. Lead testing was completed on 11/6/2022. LPA observed learning stations with toys for dramatic play, math manipulative, art area, and reading area for quite play available for children in care and are in good repair; free of loose and sharp parts. Classroom 1 has a bathroom inside the classroom, clean and in operable conditions. LPA observed a first aid kit is kept in a backpack hanging in each classroom. Carbon monoxide detectors and smoke detectors are present in the facility and are operable. Fire extinguishers have been serviced April 2024 and were fully charged. Fire drill log available and last drill conducted on 04/11/2024. Classroom 1 had a child who had medication stored in a locked box, a report was posted of the time frames when medication was prescribed to child. (Continuation- Page 1 of 3)

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Ashley Calderon	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

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 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BELLFLOWER III CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198019354
	VISIT DATE: 04/16/2024

NARRATIVE

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Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. There are 2 play yards and one main yard located to the far end of the facility premises. LPA observed large play structure with slide well maintained with cushioning material below to absorb fall, bicycles with concrete bike path, and art materials available for children in outdoor play area. Required shade and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed. LPAs observed the children have access to water cooler for drinking water while outside. LPA's inspected main play yard were incident that was reported on 4/10/24 with Child #1 took place. Supervisor Mayra stated staff #1 was present when the incident occurred and assisted Child #1. It was reported that when staff asked Child #1 if they needed an ice pack / first aid, Child #1 refused. Child #1's parent was notified of the incident. Parent provided the facility with a Doctors notice for Child #1 indicating for Child #1 to refrain from Physical Activities, LPA obtained a copy of report. Supervisor Mayra stated Child #1 during children's outside play does table top activities or does activities in the supervisor's office. Supervisor Mayra was advised to ask parents for a follow up plan when Child #1 goes back to the doctor for an upcoming scheduled visit, supervisor will email LPA Calderon a copy. Staff who witnessed Child #1 fall was present. Per staff interviews, there were approximately 22 children outside on the day of the incident and 4 staff supervising. Per staff #1 who witnessed incident, Child 1 jumped, lost balance and fell on their knees and put their hands down to catch themselves.No deficiencies were cited regarding the incident.

In addition, LPA's observed facility kitchen. Facility has sufficient perishable food items in freezers and refrigerators. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper operable equipment. Facility serves Breakfast, Lunch, and AM/PM Snack.In the classrooms snack/lunch menus were reviewed and were posted.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. LPA observed 38 of 38 children signed in with full signatures of parents. Personal Rights of children were observed by LPAs. Staff and Children’s Records were reviewed. Criminal Record Clearances were reviewed for adults. At least one staff had CPR/First Aid Certification. Per Site Supervisor, sick/isolation area is in office.
(Continuation- Page 2 of 3)

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Ashley Calderon	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BELLFLOWER III CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198019354
	VISIT DATE: 04/16/2024

NARRATIVE

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The following were discussed with the Site Supervisor:

Licensee (or facility representative) was reminded that all adults 18 and over in the facility, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed facility. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed.
Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.
LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.
The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at:https://www.ada.gov/resources/child-care-centers/.
Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Exit interview was conducted and report was reviewed with the Licensee, Mayra Rubio.
(Report Ends - Page 3 of 3)

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Ashley Calderon	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

LIC809 (FAS) - (06/04)

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