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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020789
Report Date: 10/07/2021
Date Signed: 10/07/2021 10:48:48 AM

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:LOWELL JOINT SCHOOL DISTRICT PRESCHOOLFACILITY NUMBER:
198020789
ADMINISTRATOR:SHERI MCDONALDFACILITY TYPE:
850
ADDRESS:11700 MAYBROOK AVETELEPHONE:
(562) 902-0211
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY:48CENSUS: 0DATE:
10/07/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Holly BranderTIME COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Cynthia Reyes, conducted an announced follow up pre-licensing site Inspection to inspect and measure the requested preschool component for capacity determination. LPA met with Holly Brander and Assistant Superintendent Sheri McDonald. Due to COVID- 19 precautionary measures were taken during the entire inspection and all individuals present during this inspection wore appropriate personal protective equipment. The applicant is requesting a total capacity of 27 preschool children. The days & hours of the preschool license will be Monday- Friday, AM session 8:30-11:30 AM and the PM session 12-3 PM. This facility is located in a bungalow on the Maybrook Elementary school campus.

1) Completion of required documents. Were given and reviewed.
2) Waiver approval of shared play yard and shared bathroom. LPA was also given two updated waiver request regarding the bathroom and the play yard. (Pending Department)
3) Isolation area location with staff rest room. In main office of the school with staff rest room in next building.
4) Outside parent board/inside with all documents for licensing and Covid-19. LPA reviewed and is ready.
5) Need first aid kit in class room and location of medicines. LPA observed to be in the class room.
6) Mat/cot needs to be available if a child request to nap. Cots Were observed in the class room.
7) Snack menu posted and location of storage area for snacks. Copy was provided and Snacks are located in the school kitchen and brought to the class room.
8) Facility sketch updated inside/outside with measurements. (Remeasuring is needed). Completed on this date.

Based on LPA measurements and observations of the facility, corrections have been made. The capacity will be approved for 27 preschool children in the class room at one time. The application will be submitted to be licensed after waivers are approved. Once licensed, the applicant is required to adhere to the terms and limitations stated on the license. A fire clearance was approved on 07/06/2021 and on file for a capacity of 48.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2021
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: LOWELL JOINT SCHOOL DISTRICT PRESCHOOL
FACILITY NUMBER: 198020789
VISIT DATE: 10/07/2021
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LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. LPA provided the Effects of Lead Exposure form during the inspection and discussed the following Provider Information Notices (PINs) Required Lead Testing: PIN 20-01 CCP Effects of Lead Exposure, and Guardian User Account Access - PIN 20-20-CCLD.

Exit interview was conducted in person with Holly Brander. A copy of this report and Appeal Rights were discussed, signed, given and printed on this date. Consultation regarding the licensing state laws and regulations, were conducted through out this inspection.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2021
LIC809 (FAS) - (06/04)
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