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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304370542
Report Date: 08/20/2021
Date Signed: 08/20/2021 11:15:23 AM

Document Has Been Signed on 08/20/2021 11:15 AM - It Cannot Be Edited

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:SAUSD/LOWELL ELEM. SCHOOL-KINDER READINESS PROG.FACILITY NUMBER:
304370542
ADMINISTRATOR:JUAREZ, JUANAFACILITY TYPE:
850
ADDRESS:700 SOUTH FLOWERTELEPHONE:
(714) 972-6300
CITY:SANTA ANASTATE: CAZIP CODE:
92703
CAPACITY: 23TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
08/20/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director - Juana JuarezTIME COMPLETED:
11:35 AM
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Licensing Program Analyst (LPA) Corral conducted an on-site inspection for the purpose of an Annual Inspection. LPA Corral and Director Juana Juarez toured the inside and outside of the facility. There were 8 preschool children present in care with 2 staff members providing care and supervision. Due to COVID 19 Guidelines, LPA Corral observed staff members and children wearing face masks, social distancing and following CDC & Dept of Public Health Guidelines. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Facility hours are Monday – Friday, 8 a.m.- 4 p.m. A review of the Facility Personnel Report Summary conducted on 08/13/2021 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the inspection LPA Corral was informed there are two sessions that take place in the classroom, AM Session is 8 – 11 AM and PM session is from 12:30 – 3:30 PM. The indoor activity space was inspected, items which could pose a danger to children such as detergents and cleaning compounds were observed to be stored out of the reach of children in a cabinet above 5 feet high. Poisons/Hazardous items and medication are not kept on the premises. Food is not prepared in the classroom; but it is provided by the SAUSD. Food is located in the school’s cafeteria, lunch is provided for both AM and PM session. Menus were posted and visible for parents to review. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. There is drinking water available to children indoors by use of cups and a drinking fountain. The children's bathrooms were observed to be clean and sanitary. Children do not nap in the classroom. The facility has a working carbon monoxide detector and fire extinguisher. Facility met all posting requirement. The California Child Passenger Safety Law was posted in the facility.

Staff files were reviewed for staff present during the facility inspection, 3 out of 3 staff files were reviewed. Health screening and immunization records required were reviewed.
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SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Eileen Corral
LICENSING EVALUATOR SIGNATURE: DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/20/2021
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: SAUSD/LOWELL ELEM. SCHOOL-KINDER READINESS PROG.
FACILITY NUMBER: 304370542
VISIT DATE: 08/20/2021
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Beginning September 1, 2016, Health and Safety (H&S) 1596.7995 (a)(1) states, 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. Proof of immunization against pertussis, measles and influenza for Director and Staff members were reviewed and within compliance. Beginning March 31, 2018, H&S Code 1596.8662 requires all directors and employees to complete mandated reporting training, and to renew the training every two years. Director Juana Juarez completed her Mandated Reporter Training on 06/10/2021. Director also possesses a current EMSA approved Pediatric CPR/First Aid certification, which expires on 01/2022. LPA Corral also reviewed Children's Records of the children who were present in care. Eight Children's files were reviewed, each child’s record contained documentation of the child’s name, address, and telephone number of the child’s authorized representative and of relatives or someone who can assume responsibility for the child if the authorized representative cannot be reached. SAUSD uses Kinder Sign for Children's sign-in and sign out, for student information and also emergency contact information. SAUSD also uses Google Drive to store Children's Physical and Health Forms.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

The outdoor activity space was also inspected for compliance. The playground was enclosed by a fence of at least fourteen feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The cushioning material around the jungle gym, slides, and climbing equipment appeared to be enough to absorb a fall. Drinking water in the outdoor activity space is provided by use of cups and a drinking fountain. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility. The facility grounds were safe, sanitary and in good repair.

Director Juana was informed that Licensing Quarterly Updates are available at www.ccld.ca.gov, she was also informed she may request to be added to an email list to receive a Quarterly Update by contacting the Child Care Advocate at childcareadvocatesprogram@dss.ca.gov.
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SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Eileen Corral
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
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: SAUSD/LOWELL ELEM. SCHOOL-KINDER READINESS PROG.
FACILITY NUMBER: 304370542
VISIT DATE: 08/20/2021
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LPA Corral provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian. Information on nutrition training, immunization requirements for children, and Health Schools Acthttp://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. Director was informed about the California Child Care Disaster Planwebsite: cchp.ucsf.edu/content/disaster-preparedness LPA Corral also provided information about the E-Learning Modules https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained and provided to Director.

LPA Corral provided Director with a copy of the Provider Information Notice (PIN) 20-06-CCP Social and Physical Distancing Guidance. Director was provided with a Copy of the 2016 “A Child Care Providers Guide to Safe Sleep” English: https//www.cdph.ca.gov/programs/SIDS/Documents/SIDSchildcaresafesleep.pdf. AAP: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx
NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative
Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials
Director was informed of the following:
· Always place infants on their backs for sleeping, use only a tight-fitting sheet on the crib/play yard mattress
· Do not hang any items from or above the crib, keep all items, including blankets out of the crib/play yard
· Pacifiers may be used but may not have items attached to them
· Infants should not be swaddled or have any items covering them while sleeping
· The temperature of the room should be comfortable, not too hot or too cold

In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of Inspection.

LPA Corral conducted an Exit Interview with Early Learning Specialist Veronica Berber. The report was read reviewed and discussed with Veronica. Appeal Rights were explained, Specialist was provided a copy of Appeal Rights and signature on this form acknowledges receipt of these rights. Specialist was informed all appeals must be in writing and received by the Regional Office within 15 business days. Notice of Site Visit was provided and posted. Specialist was informed the Notice of Site Visit must be posted for 30 consecutive days and failure to post will result in a Civil Penalty of $100.00.
End of Report.
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Eileen Corral
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
LIC809 (FAS) - (06/04)
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