304370796-9-13-2019-06-CC-YVIA-BFYRUQ-20190913132020

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304370796
Report Date: 09/13/2019
Date Signed: 09/13/2019 01:20:24 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:	LOS ALAMITOS CDC		FACILITY NUMBER:	304370796
ADMINISTRATOR:	DAGARIN, JEAN-MARI		FACILITY TYPE:	850
ADDRESS:	12582 KENSINGTON ROAD		TELEPHONE:	(562) 799-4585
CITY:	LOS ALAMITOS	STATE: CA	ZIP CODE:	90720
CAPACITY:	24	CENSUS: 22	DATE:	09/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Jean-Mari Dagarin, Director		TIME COMPLETED:	01:15 PM

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Licensing Program Analysts (LPAs) Yesenia Villa and Tina Nguyen conducted an unannounced random inspection on this day to ensure the health and safety of the children in care. LPAs met with Jean-Mari Dagarin Director, who guided analysts on a tour of the facility. This is a preschool program with a capacity of 24 children, the classroom is located on site at Francis Hopkinson Elementary School in Room#1. Facility operates Monday through Friday 6:30 am-6:00 pm. All individuals present have obtained a criminal record clearance prior to working and being in the presence of the children in care. All areas identified on the facility sketch were inspected. Upon arrival, there were 22 preschoolers present with two teachers. The facility was observed to be within ratio. Sign in and sign out sheets were inspected, and all children present were signed in.

The following was observed during this inspection. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated.

Children have their own cubby to store their belongings. Linens are washed weekly by parents as stated by the Director. The facility has age appropriate furniture and equipment including, but not limited to sleeping cots or mats. Sleeping cots were observed to be stored properly. The isolation area for children is in the corner of the classroom. Overall general sanitation was observed of the facility. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children.

Director was reminded that all poisons must be under lock or combination. Snacks were observed in the classroom for quantity and menus were posted in a public place where they are visible to parents. The center provides lunch that is delivered daily by Los Alamitos Unified School District. Morning and afternoon snacks are also provided.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia Villa	TELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019

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: LOS ALAMITOS CDC	FACILITY NUMBER: 304370796
	VISIT DATE: 09/13/2019

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The outdoor play area was inspected thoroughly. 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 sand. The children have accessible drinking water via a water fountain. There is adequate shade in the play yard provided by large trees. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. The center has a waiver on file for shared space with the TK classroom located next door used by Elementary children. Director was reminded about ensuring no co-mingling by adhering to the activity schedule approved. Children’s Records were reviewed for completeness; Inspection of required forms was made. LPAs issued the Children’s Record Review (LIC 811) to the Director during this inspection. In review of children’s records, files contain information 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.Staff files were reviewed for completion of immunization's, MMR, TDAP & Influenza, along with the completion of the Mandated Reporter training. Children's roster was reviewed and is current. Disaster drill log was available, last drill was conducted in 08/26/2019.First Aid supplies were observed in the classroom. Per Director Incidental Medical Services are offered, however there are no children enrolled that require medication at this time.This facility provides Incidental Medical Services IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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.htm

LPAs advised the Director where to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

There were no deficiencies cited during this inspection.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Director, Jean-Mari Dagarin. Including, but not limited to provider rights and appeal rights.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia Villa	TELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019

LIC809 (FAS) - (06/04)

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