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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020838
Report Date: 12/15/2021
Date Signed: 12/15/2021 12:18:36 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:TOP KIDSFACILITY NUMBER:
198020838
ADMINISTRATOR:MONIQUE YIPFACILITY TYPE:
840
ADDRESS:2600 N. NEW AVETELEPHONE:
(626) 573-2608
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY:40CENSUS: 0DATE:
12/15/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Monique YipTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Cynthia Reyes, conducted an announced pre-licensing site Inspection to inspect and measure the requested School Age component for capacity determination. LPA met with Monique Yip, Administrator. 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 40 school age children. The days & hours of the school age license will be Monday- Friday 7AM-6PM. Room 4 and Room 5, will be used by the new proposed school age. The school age program is physically separate from other components both indoors and outdoors.

At 10:15 AM, LPA began the tour of the school age class room with Monique Yip, beginning at the gate door located in the front of the facility from the drive way area. Monique states parents during Covid will sign the child in/out (Clean pins will be available and a container for used pins), outside of the front door where temperatures and use of hand sanitizer will be conducted. Parents will not enter the class rooms at this time unless they request to enter, which at that time all precautionary measures will be taken for that individual entering. Facility staff will walk the child inside the class room and bring the child out at pick up time. LPA observed a parent board will be outside by the sign in/out area and inside the class room visible for all to see with all licensing documents and Covid-19 posting. Facility was observed to be adhering to local public health guidelines. (According to CDC guidelines, children under the age of (2) are not required to wear masks.)

The main office will be used as an ill/isolation area and has a mat for a child to rest if needed. Ill children will use the staff bathroom located in the main office. The isolation area will be used by all components (Preschool & School age).

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SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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 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: TOP KIDS
FACILITY NUMBER: 198020838
VISIT DATE: 12/15/2021
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10:45 PM, The tour continued as the LPA was guided to the outdoor play area. The school age have their own outdoor play yard, located in front of their class rooms. Water jugs with disposable cups or labeled bottles will be used for children while outdoors. LPA observed age appropriate outdoor toys and play equipment to be clean safe and in good repair, as well as adequate shade is available. All areas around play equipment and slides are cushioned with material to absorb a fall. Measurements were taken of the outdoor play yard and the total outside capacity allows for 40 school age children. LPA advised the Monique Yip, Administrator. that the children need to be within the direct care and supervision, including visual observation and supervision of the teacher(s) at all times.

Licensing staff was then guided through the proposed school age classroom. LPA observed play equipment, furniture and materials were inspected to be in good repair as well as for cleanliness, safety and age appropriate. There is a fully equipped first aid kit available in the classroom. Individual storage space was observed to be available for each child. Napping equipment (if needed), mat/cots observed in the class room and were inspected for good condition, appropriate storage and cleanliness. Storage for children's belongings. Facility has extra linen and food available if needed. Water jugs with disposable cups will be available in each room.

Telephone service, heating, lighting and ventilation were evaluated. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, paper towels, toilet paper, area safety and sanitation. The School age bathroom is located in the class room and has 3 toilet and 3 sink for capacity of 45 children.

Carbon monoxide detectors and smoke detectors are present and are in operable condition in the facility. Smoke and Carbon Monoxide detectors should be checked, and batteries replaced as needed. Fire extinguishers were not serviced (05/04/2021) when the fire inspector approved the fire clearance. The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Hazardous items including poisonous cleaning compounds were observed to be stored inaccessible to children.

Applicant states there is a transportation policy for this component.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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: TOP KIDS
FACILITY NUMBER: 198020838
VISIT DATE: 12/15/2021
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This program will provide AM and PM snack and lunch if the child is in care for the full day, if after school only then PM snack will be provided. Food/snacks will be prepared by the facility daily. Food will be maintained in the facility kitchen. A monthly snack/food menu is available and posted. LPA advised the Applicant to label and date all food, dishes and bottles that are brought from home for proper storage. All kitchen areas/food preparation areas and food storage areas were observed to be clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids.

11:15 PM Items discussed during this Inspection:
Licensing does not tolerate the following: Refused Entry to a Facility or Any Part of a Facility is a
violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both.
Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.
Current Children’s Roster LIC 9040: Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This children roster must be updated and available to the licensing agency upon request.
Children’s Records: All required licensing documents must be available for review; 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. Director advised to visit www.shotsforschool.org for immunization information.
Criminal background clearance: LPA advised Director that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check.
Reporting Requirements Section 101212: Changes at the facility must be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. The Director was also advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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: TOP KIDS
FACILITY NUMBER: 198020838
VISIT DATE: 12/15/2021
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12 noon Applicants states that any lifesaving medication will be stored in a locked cabinet or the refrigerator in the kitchen that is inaccessible to children in care.

Incidental Medical Services (IMS): This facility does provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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 also consulted with applicant regarding COVID-19 health and safety guidelines on this date. Applicant was provided forms to post via email. Licensing staff observed COVID- 19 postings posted in different areas of the day care for parents, as well as for children at eye level in their class rooms and in the bathrooms on this date. During this inspection LPA also discussed PIN 20-06 CCP, Social and Physical Distancing Guidance and Healthy Practices for Child Care Facilities in Response to The Global Corona virus (COVID-19) Pandemic Written in Collaboration with The California Department of Education.

LPA advised the applicant how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

Based on LPA measurements taken on this date (indoor allows for 41 and outdoor for 43 and 3 toilets and 3 sinks allows for 45), the capacity will be approved for 40 School age children.



A fire clearance was approved on 11/23/2021 and on file for a capacity of 40.

12:30 PM, Exit interview was conducted with Monique Yip, Administrator. Notice of site visit was given. Consultation regarding the licensing state laws and regulations as well as Covid-19, was 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: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4