198020568-10-6-2021-33-CC-BBAT-C7JQFQ-20211006120818

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020568
Report Date: 10/06/2021
Date Signed: 10/06/2021 12:08:24 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:	MYKKIDS - SCHOOL-AGE		FACILITY NUMBER:	198020568
ADMINISTRATOR:	STEPHANIE LI		FACILITY TYPE:	840
ADDRESS:	1507 GARFIELD AVE.		TELEPHONE:	(323) 258-3690
CITY:	SOUTH PASADENA	STATE: CA	ZIP CODE:	91030
CAPACITY:	52	CENSUS: 2	DATE:	10/06/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Stephanie Li, Director		TIME COMPLETED:	12:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Bardo Baluyot conducted an unannounced required annual inspection. LPA met with Director Stephanie Li who guided the LPA on a tour of the facility. A COVID-19 risk assessment was conducted prior to entering the facility. This is a school-age program that operates on the Oneonta Church property. The location also houses the preschool program #198020567. The hours of operation are Monday-Friday, 8am-6pm. At 9:40 am, Director guided the LPA on a tour of the indoor area. The facility consists of two classrooms (AS Rm 1 and AS Rm 2) located in a separate building from the preschool, on the second floor. There is a staff room available as an ill isolation area. The restrooms are located down the hall outside of the classrooms. Both classrooms and restrooms were inspected for cleanliness and were in proper working condition. The classrooms have age appropriate furniture and a sink available. There is drinking water in the form of water refill jugs, personal water bottles or disposable cups. The carbon monoxide/smoke detector in classroom AS Rm 2 was tested by LPA and found to be functional. There is overhead lighting and windows that provide for natural light. The room has central air conditioning. There are wall heaters in the classrooms that have been barricaded and director provided verification of pilot being turned off. At 10:30 am Director guided the LPA on a tour of the outdoor area that is designated for the school-age children. This playground is adjacent to the preschool playground but is separated by a fence. There is a current fence in place that is temporary. The fence measures 4 feet high and surrounds the playground. The fence is installed into the ground and secure. Director stated that a permanent fence will be installed and licensing will be notified of the change. Director added that due to the ongoing case with the city, the fence cannot be made permanent until pending Conditional Use Permit is issued. Sprinklers and wiring near the ivy/garden area mentioned as a potential hazard during the pre-licensing inspection were repaired and no longer pose a hazard. Photos were captured.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021

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: MYKKIDS - SCHOOL-AGE	FACILITY NUMBER: 198020568
	VISIT DATE: 10/06/2021

NARRATIVE

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There is a kitchen on site where meals and snacks can be prepared by the facility staff. At this time, lunch will be brought from home due to facility protocol related to COVID-19. Required postings and information is posted in the hallway and outside where health checks are conducted.

Medication is stored in the classroom in a cabinet that is inaccessible to children. A medication log is kept on file in the office to track use of medication by children. Refrigerated medication can be stored in the kitchen.

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

Administrator was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

No deficiencies were observed or cited at this inspection. Exit interview conducted and report was reviewed with the Director, Stephanie Li. A copy of this report and appeal procedures were explained and provided. A notice of site visit was given and must remain posted for 30 days.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3351
LICENSING EVALUATOR NAME: Bardo Baluyot	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021

LIC809 (FAS) - (06/04)

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