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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020164
Report Date: 02/19/2020
Date Signed: 02/19/2020 04:07:38 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:HOORAY MONTESSORI PRESCHOOLFACILITY NUMBER:
198020164
ADMINISTRATOR:HUIPING HUANGFACILITY TYPE:
850
ADDRESS:136 S. BANDY AVETELEPHONE:
(626) 833-3729
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY:41CENSUS: 10DATE:
02/19/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Huiping Huang, DirectorTIME COMPLETED:
04:20 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Thelma Razo and Cynthia Reyes conducted a Case Management - Deficiencies inspection and met with Director Huiping Huang aka Becky. Upon arrival, LPAs observed a parent dropping off Child #1 (C1) and Child #2 (C2). LPAs observed there are 10 children in the Dino Room with staff Meilian He aka Emily. LPAs reviewed the sign in and sign out log and reviewed ten out of ten (10/10) children file.

Deficiencies were observed in accordance with California Code of Regulations Title 22, Division 12. Refer to LIC809-C.

Exit interview held with Director Huang and Appeal Rights discussed and copy provided.

Notice of Site Visit (LIC 9213) must remain posted for 30 daysduring 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.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Thelma RazoTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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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: HOORAY MONTESSORI PRESCHOOL
FACILITY NUMBER: 198020164
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2020
Section Cited

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SIGN IN AND SIGN OUT. The licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center. This requirement is not met as evidenced by: LPAs observed eight out of ten (8/10) children present during this visit has been signed in. This poses a potential health and safety risk to the children in care.
Type B
02/28/2020
Section Cited

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CHILD'S RECORDS. A separate, complete and current record for each child is maintained in the child care center. This requirement is not met as evidenced by: LPAs reviewed files of Child #1 through #10 and observed incomplete files for C1, C2, C6, C7, C9 and C10. This poses a potential health and safety
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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: Ana ChicoTELEPHONE: (323) 513-3793
LICENSING EVALUATOR NAME: Thelma RazoTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2020
LIC809 (FAS) - (06/04)
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