304371200-5-29-2019-06-CC-YVIA-BCMVM3-20190529163253

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 304371200
Report Date: 05/29/2019
Date Signed: 05/29/2019 04:32:58 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:	ILOVE CHRISTIAN MONTESSORI SCHOOL		FACILITY NUMBER:	304371200
ADMINISTRATOR:	LEE, INHA		FACILITY TYPE:	840
ADDRESS:	7362 CRESCENT AVE.		TELEPHONE:	(714) 220-2207
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90621
CAPACITY:	30	CENSUS: 9	DATE:	05/29/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Inha Lee, Director		TIME COMPLETED:	05:00 PM

NARRATIVE

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Licensing Program Analyst Yesenia Villa conducted an unannounced annual random inspection. LPA met with Ju Kang, Assistant Director who guided analyst on a tour of the facility. The Director was not present during the visit. The Director arrived an hour later. This is a school age program which consists of 3 classrooms; that are separated by age groups. The school age program is located on the upstairs floor. The Facility operates from Monday through Friday 07:00am to 6:00pm. All individuals present have obtained a criminal record clearance.

All areas identified on the Facility Sketch were inspected. Upon arrival, census was taken there were 9 children present with one staff. The following was observed during the tour of the facility: There was a locked room #5. that was located upstairs, Licensee states that the owner is the only one with the key and she was unsure of what the room was used for. Per Director the room is used for storage from her knowledge.

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.

Per Director, the isolation area is located in the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms.

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.

This facility is part of the Evergreen food program and they prepare the food on site. The facility offers, breakfast, lunch and snack. Menus were observed to be posted in a central locations available for parents. Page 1 of 2

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia Villa	TELEPHONE: (714) 703-2818
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2019

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: ILOVE CHRISTIAN MONTESSORI SCHOOL	FACILITY NUMBER: 304371200
	VISIT DATE: 05/29/2019

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Outdoor playground equipment is in a 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 material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed via a water fountain.

There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Children’s Records were reviewed for completeness; Inspection of required forms was made. LPA issued the Children’s Record Review (LIC 811) to the Director during this inspection.

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. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill log was available, last drill was conducted on 01/09/2019.

Menus are posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. Snacks were reviewed for availability, quantity and appropriateness to children in care. First Aid supplies were observed in the classroom in a cabinet.

Incidental Medical Services were discussed. This facility does not provide Incidental Medical Services – IMS. 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

There were no deficiencies cited during today's inspection. LPA advised the Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

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 Lee Inha, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. Page 2 of 2

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia Villa	TELEPHONE: (714) 703-2818
LICENSING EVALUATOR SIGNATURE:	DATE: 05/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2019

LIC809 (FAS) - (06/04)

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