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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371146
Report Date: 05/06/2019
Date Signed: 05/06/2019 04:00:50 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:THINK TOGETHER EARLY LEARNING PROGRAM-WHITAKERFACILITY NUMBER:
304371146
ADMINISTRATOR:ALVA, TIFFANYFACILITY TYPE:
850
ADDRESS:8401 MONTANA AVENUETELEPHONE:
(714) 521-8568
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY:17CENSUS: 13DATE:
05/06/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:22 PM
MET WITH:Irene NelsonTIME COMPLETED:
04:15 PM
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An unannounced visit was conducted by the Licensing Program Analyst (LPA) Torrence on 05/06/2019 at 2:22 p.m. During the visit, LPA met with Irene Nelson, Lead Teacher, who guided analyst on a tour of the facility inside and out. Census was taken. There was a total of 13 children present in Room #3 with three teachers supervising. This facility currently has 14 children enrolled. During this visit, it was determined the facility is operating within its licensed capacity and within compliance of staffing ratio. A review of staff records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance. This facility is a state preschool located on James Whitaker Elementary School campus which has designated Room #3 for preschool usage in the AM and PM Sessions. The proposed program will operate Monday through Friday with two sessions from 08:15 am - 11:15 am and second session 12:15 pm - 3:15 pm. This facility has two waivers; 1) to share the school campus restrooms; and 2) to share with the transitional kindergarten and kindergarten children on a rotating schedule.

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. Food is prepared by the Buena Park School District cafeteria and brought to the classroom. The facility has a menu posted. This facility provides breakfast for the AM session and lunch for the PM session. 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 for (MMR, Pertussis, and Flu vaccines). Facility has a current disaster drill log. Fire extinguisher and carbon monoxide was located at this facility. 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.


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SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2019
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 2
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: THINK TOGETHER EARLY LEARNING PROGRAM-WHITAKER
FACILITY NUMBER: 304371146
VISIT DATE: 05/06/2019
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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.htmThe updated plan of operation has been received in our office for providing Incidental Medical Services. (IMS)

Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov . Licensee was informed of how/where to access regulations and forms from CCLD website: www.ccld.ca.gov



There was no deficiency cited per CA Code of Regulations Title 22.

Exit interview was conducted. Report reviewed and discussed. The 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 $100.00. Notice of Site Visit was posted during the visit. Appeal rights provided and explained. The director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.


END OF REPORT
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 703-2823
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2019
LIC809 (FAS) - (06/04)
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