191203005-4-17-2023-33-CC-RLOZ-CQYVSA-20230417164113

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191203005
Report Date: 04/17/2023
Date Signed: 04/17/2023 04:41:20 PM

Document Has Been Signed on 04/17/2023 04:41 PM - 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	OUR SCHOOL		FACILITY NUMBER:	191203005
ADMINISTRATOR:	JANEL THRASHER		FACILITY TYPE:	850
ADDRESS:	1800 EAST MOUNTAIN ST.		TELEPHONE:	(626) 798-0911
CITY:	PASADENA	STATE: CA	ZIP CODE:	91104
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 48	CENSUS: 46	DATE:	04/17/2023
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:	Director Janel Trasher		TIME COMPLETED:	04:50 PM

NARRATIVE

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LPA Lopez conducted a case management deficiencies inspection on this date. During an unannounced inspection LPA observed that the facility commingles preschool children with the Kindergarten classroom. 6 Preschool children were observed to be in the Kindergarten classroom. The Kindergarten classroom is licensed with the Department of Education and not the Department of Social Services.. Per Director, 8 preschool children were moved up to the kindergarten classroom during COVID- as the Pre- K classroom has 12 children enrolled.

LPA Lopez advised Director that facility is not operating with limitations on their license- Preschool children cannot be commingled with the kindergarten classroom. This posed an immediate risk to the health, safety and personal rights of children in care.

Based on the LPA’s observations and records reviews, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code od Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

LPA Roxana Lopez informed licensee- director Janel Thrasher that this report dated 4/17/2023 document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Roxana Lopez informed the licensee to provide a copy of this licensing report dated 4/17/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. ---------------------- pg. 1 of 2 ------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OUR SCHOOL	FACILITY NUMBER: 191203005
	VISIT DATE: 04/17/2023

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A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee/director Janel Thrasher.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/17/2023 04:41 PM - It Cannot Be Edited

Created By: Roxana Lopez On 04/17/2023 at 04:14 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OUR SCHOOL	FACILITY NUMBER: 191203005
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/17/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/17/2023 Section Cited CCR 101161(a)	1 2 3 4 5 6 7	101161 Limitations on Capacity (a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.	1 2 3 4 5 6 7	Per Director, they will inform parents tonight and move children back into the pre-k classroom. Per Director they will submit a copy of letter provided to parents.
	8 9 10 11 12 13 14	Based on observation and interview this requirement is not met as evidence by: LPA observed 6 preschool children in the Kindergarten classroom which is not licensed by our department. This posed an immediate risk to the health, safety and personal rights of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Brandi VanOosten

LICENSING EVALUATOR NAME:

Roxana Lopez

LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2023

LIC809 (FAS) - (06/04)

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