191232316-5-5-2023-33-CC-CGRN-CRJT6F-20230505142703

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191232316
Report Date: 05/05/2023
Date Signed: 05/05/2023 02:27:14 PM

Document Has Been Signed on 05/05/2023 02:27 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:	NEW HORIZON SCHOOL		FACILITY NUMBER:	191232316
ADMINISTRATOR:	FAIZA SEEDAT		FACILITY TYPE:	850
ADDRESS:	626 CYPRESS AVE.		TELEPHONE:	(626) 759-5186
CITY:	PASADENA	STATE: CA	ZIP CODE:	91103
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 48	CENSUS: 22	DATE:	05/05/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Suad Naser		TIME COMPLETED:	02:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Crystal Green conducted an unannounced required 1- year inspection. LPA met with Administrator Suad Naser also present during this inspection was Upper Elementary Principal, Amira Alsarraf. The following was observed during this visit. At 12: 45pm, LPA was provided a tour of the facility. This preschool program consists of 2 classrooms (Preschool and Pre-K classroom), music room, and multipurpose room. LPA observed there to be 8 children with 2 staff members in the Preschool room. In the Pre-K room, LPA observed there to be 14 children with 2 staff members. Teacher- child ratios were observed, and staff names were recorded. All children were observed by licensing staff to be under visual supervision of a teacher at all times. Licensing staff observed the facility to be clean, safe, sanitary and in good repair. Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All toilets and hand washing facilities are in safe and sanitary operating conditions. There is drinking water available in each classroom. Napping equipment was inspected for good condition, appropriate storage, and cleanliness. Bedding is stored separately in each child storage cubbies. At this time, the Director's Office is used as an isolation area. Parents are contacted immediately when children are determined to be ill, and staff are ensuring that children with obvious symptoms of illness are not being accepted. The children bring their own lunch or have an option for hot lunch. Administrator states that children also bring their own snack. The facility does have snacks available, in the event that a child forgets their lunch or snack. Page 1 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023

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 3

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: NEW HORIZON SCHOOL	FACILITY NUMBER: 191232316
	VISIT DATE: 05/05/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Facility has a refrigerator available for children to store their food. Food preparation and storage areas are clean and free of litter. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children shall be made inaccessible.

Outdoor play equipment was observed to be in good condition. Outdoor activity space surface is maintained in a safe condition as is free of hazards. Climbing equipment observed is surrounded by rubber surfaces. The facility has adequate shade available outside. LPA observed the drinking water fountains located in the outdoor play area to be made inaccessible via tape.

Facility uses application for electronic Sign in and out. LPA reviewed the application to ensure that the children are being sign in and out. Staff Records were reviewed to ensure that a health screening report is on file. Criminal Records Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed. LPA observed at least one staff member to have a current verification of CPR/First Aid. Staff records were also reviewed for current completion on the Mandated Reporter Training certification. LPA reviewed (5) staff files, out of the (5) staff files reviewed none contained a current completion certificate for the Mandated Reporter Training which must be renewed every two years. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file.

The deficiencies listed on the following pages were observed by the LPA and are being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809D for deficiencies that are being cited and need to be cleared to protect the children’s health & safety.

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 Facility Representatives. A copy of the report was provided along with the appeal rights.

Page 2 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 05/05/2023 02:27 PM - It Cannot Be Edited

Created By: Crystal Green On 05/05/2023 at 02:11 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: NEW HORIZON SCHOOL	FACILITY NUMBER: 191232316
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/05/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in 5 out of 5 staff files reviewed did not contain a current completion certificate which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/31/2023
	Plan of Correction
1 2 3 4	Director will have facility staff complete the Mandated Reporter Training and submit proof of completion certificate Mandated Reporter Training course AB1207 https://www.mandatedreporterca.com/training/child-care-providers

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Christina Gabelman

LICENSING EVALUATOR NAME:

Crystal Green

LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3