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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400035
Report Date: 03/05/2020
Date Signed: 03/05/2020 02:17:29 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:OUR LADY OF THE ROSARY PRESCHOOLFACILITY NUMBER:
198400035
ADMINISTRATOR:VANESSA RIVASFACILITY TYPE:
850
ADDRESS:14813 PARAMOUNT BLVD.TELEPHONE:
(323) 359-0773
CITY:PARAMOUNTSTATE: CAZIP CODE:
90723
CAPACITY:24CENSUS: 0DATE:
03/05/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Vanessa Rivas TIME COMPLETED:
02:40 PM
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Licensing Program Analysts (LPA) Alicia Bailey and Cynthia Reyes conducted an announced pre- licensing inspection for the purpose of inspecting and measuring the facility for capacity determination. Applicant Rivas is seeking to provide care for 20 preschool children. The proposed program will operate from Monday through Friday from 7:00 AM - 6:00PM. LPAs met with Director Vanessa Rivas at 8:15 am This is a private school with grades kindergarten thru eight grade

This is a proposed Pre-School Program which consists of 1 class rooms . At 8:45 am LPA's Bailey and Reyes was guided on a tour of the facility by applicant Rivas. LPA Reyes inquired about drop off and pick up location for parents and children. Applicant Rivas explain parents will enter through the gate off the over flow parking lot of the church, but directly on side of the school.

Criminal Record Clearances for adults, Director Qualifications and verification of CPR/First Aid and health preventive practices documentation. Inspection of required forms was made. All areas identified on the facility sketch were toured both indoors and outdoors; measurements were taken. The Director office is located near the main entrance of the school. All floors were observed to be clean and safe. LPA Bailey observed a refrigerator and sick inside the classroom.

At 8:52am LPA Bailey observed containers used to discard food have tight fitting lids. Cleaning compounds are inaccessible and there are no poisons on the premises. Children enrolled in this program have their own personal storage space.

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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OUR LADY OF THE ROSARY PRESCHOOL
FACILITY NUMBER: 198400035
VISIT DATE: 03/05/2020
NARRATIVE
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This program will provide AM and PM snack. Menus, food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment . Applicant inform LPA's Bailey and Reyes that children can bring there own Lunch or they can purchase lunch thru school food program. Snack menus are posted on the Parent Board located in the hallway.

LPA's observed one preschool bathroom inside the classroom is designated for girls and boys with (3) toilets and two (1) sinks . The bathroom was inspected for age appropriate sinks and toilets were inspected for availability, good repair, water temperatures, toilet paper, paper towels, area safety and sanitation.

At 11:00 am LPA Bailey inspected the napping equipment for good condition, appropriate storage and cleanliness. The facility telephone service, heating, lighting and ventilation were evaluated. The smoke detectors, carbon monoxide & fire extinguisher are in operable condition.

Sign In and Sign Out books for children will be located outside class room. The child will have a health check conducted daily by the classroom teacher on arrival to there class room. There is drinking water readily available indoors and outdoors, by use of a water jug/pitcher and cups.

At 11:40am LPA's Bailey and Reyes was guided on tour by applicant Rivas to the Outdoor playground. Applicant Rivas is requesting a waiver to use a share yard with the Kindergarten class. LPA Reyes advised applicant Rivas about the commingling of children different age groups. LPA's measured and took photos of walk area and playground. The outdoor equipment is in safe condition, free of sharp, lose 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, slides and similar equipment are cushioned with wood chips material that absorbs a fall. There is outside shade for resting and required fencing was observed to keep components physically separate.There are no bodies of water on the premises.
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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OUR LADY OF THE ROSARY PRESCHOOL
FACILITY NUMBER: 198400035
VISIT DATE: 03/05/2020
NARRATIVE
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At 12:05pm LPA Bailey ask several questions in regards to dispensing medication to children. Applicant states that medication will be stored in the refrigerator or locked cabinet located in the classroom. There are first aid supplies available and located in the locked cabinet located in the .

The Directors office will be used as the ill/isolation area. Ill children will use the restroom located right next to the directors office and there is a cot available for Ill children to rest if needed.

Applicant Rivas inform LPA's Bailey and Reyes the preschool will observed the same holidays as the elementary school student

Incidental Medical Services (IMS): This facility plans to 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.

Staff use the rest room, and lounge located next to classroom.

Fire clearance was received and approved for Preschool children capacity of 24.


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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020
LIC809 (FAS) - (06/04)
Page: 4 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OUR LADY OF THE ROSARY PRESCHOOL
FACILITY NUMBER: 198400035
VISIT DATE: 03/05/2020
NARRATIVE
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Items discussed during this visit:
· 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: 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 roster shall be available to the licensing agency upon request.
· Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR must be present.
· Designated Staff: The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence must be on file.
· Qualifications: Educational background, training, and/or experience for each staff present must be available for review.
· Children’s Records: 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.
· Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles.
· LIC 311A - Records to be Maintained at the Facility: Child Care Centers was provided to the applicant during this visit.

The following items need to be corrected before the requested license is granted.
  1. Additional sink in the Pre-Schooler bathroom
  2. Pending waiver request for shared and stager outdoor play space
  3. Pending waiver for shared walkway to the playground.
  4. Updated outdoor facility sketch
  5. Updated application
  6. Lock on refrigerator in classroom
  7. Wood frame along the classroom in outdoor playground

Based on measurements taken today, the maximum allowed will be 20 preschoolers.
Exit interview conducted with Director Vanessa Rivas
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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4