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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019551
Report Date: 07/30/2021
Date Signed: 07/30/2021 02:59:49 PM

COMPREHENSIVE INSPECTION
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:GOALER INC.FACILITY NUMBER:
198019551
ADMINISTRATOR:SANDY YUSHENGFACILITY TYPE:
850
ADDRESS:2401 W. VALLEY BLVD.TELEPHONE:
(626) 741-5100
CITY:ALHAMBRASTATE: CAZIP CODE:
91803
CAPACITY:58CENSUS: 34DATE:
07/30/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Sandy HeTIME COMPLETED:
03:30 PM
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On 7/30/2021, at 9:00 a.m., Licensing Program Analyst (LPA) Alanna Gontarek conducted an unannounced Annual Inspection and met with Assistant Director. LPA disclosed the purpose of the inspection and was granted entry into the facility. LPA was given a tour of the facility. There were 34 children and 6 staff present during this inspection. Director accompanied LPA indoors and outdoors of the facility during this inspection. Facility operation hours are Monday to Friday from 7:30 a.m. to 6:00 p.m. LPA observed staff and children wearing face masks due to COVID-19 preventative measures. The licensee is in the conditions, limitations, and capacity specified on the license. This facility has a waiver for staggered play outdoors. All areas identified on the Facility Sketch were inspected.

The following was observed during the tour of the facility: PHYSICAL PLANT

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Linens are taken home each week to be washed. Napping equipment (cots) were observed in each classroom. Per Director, the isolation area is located in the office area in Class A, in Director's cubicle. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms. LPA observed each room to have a water dispenser and disposable cups. LPA observed the facility to have (2) carbon monoxide detectors that meet the standards established in Chapter 8 of Part 2 of Division 12. At 10:15 AM, LPA observed fire extinguishers in each room. All 3 fire extinguishers, in Class A, Class B, and Class C, were observed to be expired, and last serviced on 6/10/2019. LPA observed fire extinguishers to be charged. Per Assistant Director, ION Security Systems, LLC came out 9/2/2020 to do an Annual Fire Test. LPA observed the Invoice, stating "Passed" the Annual Fire Test on 9/2/2020.


Disinfectants, cleaning solutions, and other items that are dangerous to children, were inaccessible to children. LPA observed disinfectants and cleaning compounds stored in Staff restroom in Class A, and children's bathrooms in Class B and Class C in a locked cabinet.Per Assistant Director, there are no poisons on the premises. Per Assistant Director, there are no children with medications at this time.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
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 5
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: GOALER INC.
FACILITY NUMBER: 198019551
VISIT DATE: 07/30/2021
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All food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. Per Director, facility provides snacks for the children. LPA inspected snack items. At 10:18 AM, LPA observed 5 bags of snack items (Gold Fish, 2 bags of cereal, Organic Spelt Flakes) to be open, and not sealed correctly. LPA observed items to be closed with bag clips or tape. Per Director, the facility reuses the large plastic containers to store food that is removed from their original containers. LPA observed 4 reused containers, containing cereal. Pictures were taken. At 11:15 AM, LPA observed menus to not be posted. Assistant Director stated the facility does not provide, or have, snack menus. LPA advised Assistant Director to post the menu, one week in advance, where it is visible by the child's authorized representative. LPA advised Assistant Director that menus need to be posted for the past 30 days and are be available upon request. All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. Solid waste bags shall be discarded immediately after each meal. LPA observed the floors to be clean and safe.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under climbing equipment and slides are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. There are no bodies of water or firearms on the premises. LPA advised Director and Assistant Director to ensure staff to have 100% proper and visual supervision.

FACILITY RECORDS

All individuals present have obtained a criminal record clearance or criminal record exemption. LPA observed at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s Records were reviewed for completeness; Inspection of required forms was made. In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

LPA reviewed staff files, including Health Screenings, and Children's roster. Both are current. Sign-In and Sign-Out sheets were reviewed and complete, including children's authorized representative's full signature, date, and time stamp.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
LIC809 (FAS) - (06/04)
Page: 5 of 5
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: GOALER INC.
FACILITY NUMBER: 198019551
VISIT DATE: 07/30/2021
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Children present were signed in. LPA observed each child’s file to contain a medical assessment. LPA observed all personnel to be in good health, and are physically and mentally capable of performing assigned tasks. LPA advised Director and Assistant Director that personnel posing a threat to the health and safety of children shall be relieved of their duties. Disaster drill log was available, last drill was conducted on 6/23/2021. First Aid supplies were observed in all 3 classrooms. LPA observed most current on-the-job training regarding housekeeping and sanitation principles dated 7/29/2021 via Zoom online training. Per Director, staff training are completed monthly. LPA observed staff immunization records. All staff have been immunized against Influenza, Measles, and Pertussis.

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

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPA advised licensee of the Mandated Reporter Child Care Training that became in effect January 1, 2018, and to maintain a copy of the certificate on file for each staff. The training must be completed every 2 years. New employees shall have 90 days from date of employment to complete training as required. At 1:05 p.m., LPA reviewed staff files, and observed Staff #3, Staff #4, and Staff #6 to not have current Mandated Reporter Training (AB1207), and Staff #2 and Staff #5 have expired Mandated Reporter Training (AB1207). LPA advised the training may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules at: http://www.mandatedreporterca.com/. Lead flyer was also provided.

The following deficiencies, listed on the attached deficiencies (LIC 809D) page, are being cited in accordance with California Code of Regulations Title 22.

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. Exit interview was conducted with Assistant Director, Biwei Chen. A copy of this report (LIC 809) and Appeal Rights were read, explained, and provided.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: GOALER INC.
FACILITY NUMBER: 198019551
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2021
Section Cited

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Food Services: (a) In child care centers providing meals to children, the following shall apply:(6)Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as
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served shall be dated and kept on file for at least 30 days. This requirement was not met as evidenced by: Per Assistant Director, facility does not provide Snack Menus to children's authorized reps. This poses a potential health and safety risk to children in care.
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email to the LPA by the due date of 8/6/2021.
Type B
08/06/2021
Section Cited

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Food Service:(a)In child care centers providing meals to children, the following shall apply:(19) All food shall be protected against contamination. Contaminated food shall be discarded immediately. This requirement was not met as evidenced by: At 10:18 AM, LPA observed 5 bags of snack
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items (Gold Fish, 2 bags of cereal, Organic Spelt Flakes) to be open, and not sealed correctly. Per Director, the facility reuses the large plastic containers. LPA observed 4 reused containers, containing cereal. Pictures were taken. This poses a potential health and safety risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:
DATE: 07/30/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/30/2021
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: GOALER INC.
FACILITY NUMBER: 198019551
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/06/2021
Section Cited

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Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion. This requirement is not met as evidenced by:
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At 1:05 p.m., LPA reviewed staff files, and observed Staff #3, Staff #4, and Staff #6 to not have Mandated Reporter Training (AB1207), and Staff #2 and Staff #5 have expired Mandated Reporter Training. This poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:
DATE: 07/30/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/30/2021
LIC809 (FAS) - (06/04)
Page: 3 of 5