300607122-7-18-2019-06-CC-STOE-BE7QGD-20190718120923

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 300607122
Report Date: 07/18/2019
Date Signed: 07/18/2019 12:09:27 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME:	CITY OF LA HABRA CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	300607122
ADMINISTRATOR:	ALVAREZ, MINERVA		FACILITY TYPE:	840
ADDRESS:	401 S. EUCLID		TELEPHONE:	(562) 905-9612
CITY:	LA HABRA	STATE: CA	ZIP CODE:	90631
CAPACITY:	97	CENSUS: 68	DATE:	07/18/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Minerva Alvarez, Lead Teacher		TIME COMPLETED:	11:23 AM

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) Stacy Torrence conducted an unannounced annual inspection to the above facility. Upon arrival LPA met with Minerva Alvarez, Director/Lead Teacher who guided analyst on a tour of the inside and outside of the facility. Angela Marceau, Program Specialist arrived around 9:30 a.m. This is a school-age program which consist of two classrooms. The following census was taken in the classrooms: Room #2; 37 children with seven staff supervising and Room #3; 31 children with five staff supervising. This program operates Monday-Friday, 6:30 am to 4:30 pm, during the summer and 2:00 pm to 6:00 pm, during school year, ages 6 years old to 12 years of age. This is a Title 5 program. A review of criminal record clearances indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The facility was reviewed to ensure compliance with license conditions and limitations, staffing and ratios, inaccessibility to poisons, medication, and hazardous items that can pose a danger to children. Equipment and furniture were inspected to ensure it's in good condition, free of sharp, loose or pointed parts. Toilets and sinks were inspected to ensure they are safe and in a sanitary operating condition, floors were inspected for safety and cleanliness. This facility does provide food for the children. This facility provides breakfast, lunch, and PM snack. LPA verified that a menu was posted. Water is available to children inside and outside. Per Director, there are no weapons, firearms in the facility. The playground was inspected for safety, good condition of equipment, including appropriate cushioning material. Staff's files were reviewed for education verification, CPR/First Aid, and new immunization requirements; such as, MMR, Pertussis, and Influenza vaccines. The staff files are current with the new immunization requirements. A sample of children's files were reviewed for completeness of admission agreement, verification of sign in/out including time the child was signed in/out by authorized representative as well as verification of representative’s full legal signature.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: CITY OF LA HABRA CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 300607122
	VISIT DATE: 07/18/2019

NARRATIVE

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Incidental Medical Services-IMS was discussed. 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.htmThe updated plan of operation has been received in our office for providing Incidental Medical Services. (IMS).

The facility representative was informed that licensing updates, regulations, and forms are located on the CCLD website: www.ccld.ca.gov . Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov

There were no deficiency cited per CA Code of Regulations Title 22, Division 12.

Report was reviewed and discussed. The licensee was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. The Notice of Site Visit was posted. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. This report is to be on file and accessible for public review at the facility for at least 3 years.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

LIC809 (FAS) - (06/04)

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