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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019983
Report Date: 02/28/2020
Date Signed: 02/28/2020 03:36:11 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:VALLEY VISTA PRESCHOOLFACILITY NUMBER:
198019983
ADMINISTRATOR:TYLER LONGPREFACILITY TYPE:
850
ADDRESS:3825 ORANGEDALE AVETELEPHONE:
(818) 249-7336
CITY:MONTROSESTATE: CAZIP CODE:
91020
CAPACITY:85CENSUS: 48DATE:
02/28/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Jessica Chen MorenoTIME COMPLETED:
03:50 PM
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Licensing Program Analysts (LPA's) Justin Dorsey and Bardo Baluyot conducted an unannounced Annual Random Inspection. LPA met with Supervisor, Jessica Chen Moreno, who guided LPA on a tour of the facility.
LPA inspected all areas identified on the Facility Sketch. The following staff were observed in each classroom during this visit: Class #1: Staff #1, Staff #2 and Staff #3 with 13 children; Class #2: Staff #4, Staff #5 and Staff #6 with 17 children; Class #3: Staff #7, Staff #8 and Staff #9 with 18 children.

Students have access to the classroom, restrooms, and outdoor play area. Students of the program are signed in at their assigned classroom by their parents. This facility does not provide transportation. Furniture and equipment are safe and in good repair. There is telephone service, heating, lighting and ventilation available at the facility. The Directors office has been designated for use of ill children waiting to get picked up.

Drinking water is available indoors and outdoors. LPA observed water fountains both indoors and outdoors. Children also have water bottles which teachers bring outside for them. Restrooms used were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation.

The kitchen, which the students don't have access to is located near the Directors office. The facility provides AM and PM snack, lunch is brought by the parents. Per Supervisor lunch can also be delivered to the facility by local restaurants. Containers used to discard food have tight fitting lids at this time. Snack menus were posted on the parents board near the front of the facility. Snacks were reviewed for availability, quantity and appropriateness to children in care. Poisons are locked in a cabinet. Cleaning compounds and sharp items are inaccessible.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020
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 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: VALLEY VISTA PRESCHOOL
FACILITY NUMBER: 198019983
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/28/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/28/2020
Section Cited

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101229 Responsibility for Providing Care and Supervision (a)(1)The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation. This requirement is not met as evidenced by:
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Based on observation Child #11 was observed by LPA's walking through the Directors office into Class #3 with no supervision, which poses an immediate health, safety or personal rights 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: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2020
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: VALLEY VISTA PRESCHOOL
FACILITY NUMBER: 198019983
VISIT DATE: 02/28/2020
NARRATIVE
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Outdoor playground equipment is in 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 high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. A review of records was conducted for staff and participants. LPA observed that staff have current First Aid and CPR (Expires 04/2020). On 02/28/20 LPA's observed Staff #3 was missing proof of a required immunization. Ratios were observed to be in compliance. First Aid supplies are available. Disaster drills are documented and all posting requirements have been met.

On 02/28/20 while LPA's were in the Directors office, LPA's observed Child #11 walk unsupervised through the office into class #3. LPA Dorsey followed the child into the classroom and discovered that she was alone unsupervised in the class. LPA's then observed the child walk back onto the playground and reunite with teachers and classmates

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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


REMINDER: Failure to obtain a criminal record background check clearance prior to initial presence will result in an immediate $100.00 dollar or more.

LPA advised how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. Also, discussed new requirements for providers, including mandate reporting training for staff which can be found at: http:/www.mandatedreporterca.com/training /training.htm. This is a new regulatory requirement beginning January 2018. According to staff, training has been completed through Community Care Licensing. Please review all elements outlined in AB 1207- Mandated Reporting Training.

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 reprehensive. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020
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: VALLEY VISTA PRESCHOOL
FACILITY NUMBER: 198019983
VISIT DATE: 02/28/2020
NARRATIVE
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Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year. A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided to the Licensee.

Exit interview was conducted with Supervisor Jesicca Chen Moreno and Director Tyler Longpre , The Notice of Site Visit and Appeal Rights were given.

SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4