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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019402
Report Date: 08/17/2021
Date Signed: 08/17/2021 12:17:48 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:MAOF SALESIAN PRESCHOOLFACILITY NUMBER:
198019402
ADMINISTRATOR:TERRI JOHNSONFACILITY TYPE:
850
ADDRESS:3218 WABASH STREETTELEPHONE:
(323) 707-4603
CITY:LOS ANGELESSTATE: CAZIP CODE:
90063
CAPACITY:16CENSUS: 8DATE:
08/17/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Norma Amezcua, Director TIME COMPLETED:
12:30 PM
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On 08/17/2021 at 9:15 am, Licensing Program Analysts (LPA’s) Roxana Lopez and Steven Tung conducted an unannounced required inspection. A risk assessment was conducted prior to entering the facility, appropriate PPE equipment was used. LPA’s met with Teacher Alba Hinojosa who guided analyst of a tour of the facility. Staff Development Supervisor, Norma Rivera , arrived at 9:37 am and took over inspection. This is a preschool age program licensed for 16 children which operates Monday – Friday from 6:30 AM – 4:00 PM. Per the Supervisor there are 10 children enrolled. This facility is located on the right side of Alma Family Services Program.

All areas identified on the Facility Sketch were inspected. The following staff was present during this inspection: Classroom #16: Staff #1, Staff #2 and Staff # 3 with 5 children. Classroom #17 was emptied- Staff # 4 was outside with 3 children; Teacher-child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. All children were observed to be under supervision, including visual supervision, of a teacher at all times. The licensed facility is within the conditions, limitations, and capacity specified on the license.

LPA’s observed the facility to be clean, sanitary and in good repair. Furniture and equipment was 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 washing facilities are in safe and sanitary operating conditions. All materials and surfaces accessible to children are toxic free. At this time, the office is used as an isolation area- a cot would be brought into the office. 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.

Snack menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. The facility provides Breakfast, Lunch and PM snack. All kitchen, food preparation, ---------------------------------------------------------- Pg.1 of 4 --------------------------------------------------------------------------

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
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 4
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: MAOF SALESIAN PRESCHOOL
FACILITY NUMBER: 198019402
VISIT DATE: 08/17/2021
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and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination, and LPA’s inspected that any contaminated food is discarded immediately. At 9:37 am LPA’s observed expired beans and salt in the cupboards. Per Cook, she no longer uses beans in the food provided and the last time being used was before the pandemic. LPA’s confirmed that the updated menus did not include beans in the menu. Expired food was discarded during the inspection. There is drinking water available in all indoor classrooms and drinking containers / jugs are taken outdoors. All storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. Disinfectants, cleaning solutions, po and other items that are dangerous to children are stored in an area inaccessible to children. Per Supervisor there is no poisons stored in the facility. At 9:50 am Carbon Monoxide and Smoke Detectors were found operable.

Outdoor play equipment was observed- Outdoor activity space surface is maintained in a safe condition as is free of hazards. Drinking water was observed in form of water jug and paper cups. Per Teacher cups are thrown away after each use. LPA’s observed a lock and gated pool tank, Per Director Alma Family Services has a pool in the property- however it is not accessible through the preschool side. LPA's did not observe any bodies of water or access to the pool from the preschool. Director states there are no weapons or firearms on the premises.

Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. Per Director, due to COVID a sign in cart is taken outside- each child has a clipboard where parents sign in the child for the day- parents are not coming into the facility at this time.

Staff Records were reviewed to ensure that a health screening report is on file. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file. Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed. LPA inspection.

SB792 (Immunization Requirements for Staff and Employees) was discussed with the Director. The Director and her staff do have immunization documentation. --------------------------------------------------------------------------Pg. 2 of 4---------------------------------------------------------

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: MAOF SALESIAN PRESCHOOL
FACILITY NUMBER: 198019402
VISIT DATE: 08/17/2021
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AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a child care facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.

Medication: This facility provides Incidental Medical Services (IMS), Per director, they currently don’t have anyone enrolled with medication. 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

The following was discussed:


· Reporting Requirements.
· The facility shall ensure that each child is accorded the following personal rights: to be accorded safe, healthful and comfortable accommodations.
· All personnel shall be in good health and shall be physically and mentally capable of performing assigned tasks; personnel that pose a threat to the health and safety of children shall be relieved of their duties.
· All personnel shall be given on the job training in housekeeping, sanitation principles and universal health precautions.

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

Rast inspection was conducted on 9/29/2020- Licensing staff consulted with Director regarding COVID-19 health and safety guidelines on this date. Licensing staff observed COVID- 19 postings posted inside and outside of the facility on this date.

-------------------------------------------------------------- Pg. 3 of 4 -----------------------------------------------------------------
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: MAOF SALESIAN PRESCHOOL
FACILITY NUMBER: 198019402
VISIT DATE: 08/17/2021
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 At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Norma Rivera , Staff Development Supervisor including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role and their signature on this form acknowledges receipt of these forms.

-------------------------------------------------------------- Pg. 4 of 4 ----------------------------------------------------------------------
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4