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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019478
Report Date: 07/23/2020
Date Signed: 07/23/2020 05:04:22 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:PUENTE AVE PRESCHOOL INFANT CARE CENTERFACILITY NUMBER:
198019478
ADMINISTRATOR:KIMBERLY NGUYENFACILITY TYPE:
830
ADDRESS:14032 DILLERDALE AVETELEPHONE:
(626) 338-3464
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY:30CENSUS: 8DATE:
07/23/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Kimberly NguyenTIME COMPLETED:
05:15 PM
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An announced Increase in capacity site inspection was conducted today by Licensing Program Analyst (LPAs) Cynthia Reyes and Steven Rodriguez to inspect and measure the new Toddler space for capacity increase determination. This center was previously licensed for 17 Infants and 13 Toddlers. Applicant/Licensee is seeking to provide care for 33 Toddlers and the infants capacity will remain the same at 17 infants only. Licensing staff met with site Director, Kimberly Nguyen, who guided analyst on a tour of the facility. The Infant and Toddler Option will operate from Monday through Friday 6:00 AM - 6:00 PM. Parents enter from a gate located on the Cul-de-sac street of Dillerdale. The sign in and out book is located at the entrance of each class room.

The new toddler classroom was toured during this Inspection and measurements taken as it was previously used by the preschool license (F# 191597316) and has moved to another building next door (Puente Ave Preschool at 14045 Dillerdale Ave). The Directors office will be used as the ill/isolation area. (Waiver Submitted) Ill children will use the Toddler classroom restroom located right next to the directors office. The rest room has 2 toilets and 2 sinks. One (1) Toilet and 1 Sink will be used for the ill child. A cot is available for Ill children to rest if needed in the directors office.

There is a fully equipped first aid kit available on site. There are smoke detectors and a carbon monoxide detector on site that meets statutory requirements. Heating, lighting and ventilation were evaluated.

Measurements were taken of the outdoor toddler play area. Capacity determination allows for 37 Toddlers.

Fire clearance was received and approved for 17 Infants and 33 Toddlers for total capacity of 50.



Based on measurements taken today an additional 13 can be added to the 13 toddlers already approved for a total allowed of 26 Toddlers. 17 Infant capacity stays the same. Total of 43.
Exit interview conducted with Director, Kimberly Nguyen and a signed copy of this report was provided.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2020
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: PUENTE AVE PRESCHOOL INFANT CARE CENTER
FACILITY NUMBER: 198019478
VISIT DATE: 07/23/2020
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I.  INDOOR PLAY SPACE (Do not include unsupervised small areas)
  ROOM NUMBER/DESCRIBELENGTHWIDTHAREAENCUMBEREDSPACE
Toddler #3 32.17 15.67
504.10
0
2. TV Stand
0
 6.9
0
3. Fire Place
0
 6.5
0
4. Entrance
0
 41
0
5
0
0
6
0
0
TOTAL SPACE…………504.10……………….……………………………………………………………...……………………….
0
INDOOR CAPACITY (SPACE)
449.7
  Divided by 35 (SQ. FEET) EQUALS     (A)        
12.8
II.  OUTDOOR PLAY SPACE
  ROOM NUMBER/DESCRIBELENGTHWIDTHAREAENCUMBEREDSPACE
1 Toddler yard 53.2529
0
1544.2
2 Toddler yard #251.25 23.42
0
 1200.2
3
0
0
4
0
0
5
0
0
6
0
0
TOTAL SPACE………………………….……………………………………………………………...……………………….
0
OUTDOOR CAPACITY (SPACE)
2744.4
  Divided by 75 (SQ. FEET) EQUALS     (A)        
36.5
III. SINK/TOILET RATION
1.   SINKS AVAILABLE TO CHILDREN 2MULTIPLIED BY 15 EQUALS       (C)
30
2.  TOILETS/URINALS AVAILABLE 2MULTIPLIED BY 15 EQUALS       (D) 3033
(TWO TOILETS TO EACH URINAL)
IV  CAPACITY LIMITATIONS
1.  CAPACITY BASED ON INDOOR SPACE(A)
0
2.  CAPACITY BASED ON OUTDOOR SPACE(B)
0
3.  CAPACITY BASED ON SINKS(C)
0
4.  CAPACITY BASED ON TOILETS/URINALS(D)
0
5.  CAPACITY APPROVED BY FIRE MARSHALL(E)
6.  MAXIMUM CAPACITY (LEAST OF THE ABOVE)
EXPLANATION
EVALUATOR
DATE COMPLETED
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2020
LIC809 (FAS) - (06/04)
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