191501974-9-8-2021-33-CC-NTCG-C6NTXZ-20210908150758

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191501974
Report Date: 09/08/2021
Date Signed: 09/08/2021 03:08:06 PM

Document Has Been Signed on 09/08/2021 03:08 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:	KATHY KREDEL NURSERY SCHOOL		FACILITY NUMBER:	191501974
ADMINISTRATOR:	GWEN BLACKMON		FACILITY TYPE:	850
ADDRESS:	300 WEST HUNTINGTON DRIVE		TELEPHONE:	(626) 574-3524
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY: 71	TOTAL ENROLLED CHILDREN: 0	CENSUS: 44	DATE:	09/08/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	Gwen Blackmon - Director		TIME COMPLETED:	03:20 PM

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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced random inspection. Upon arrival at 10:55am, LPA met with Director Gwen Blackmon. At 11:00am, Director led LPA on a tour of the facility. This is a preschool program which consists of 4 classrooms. Per Director, there are currently 55 enrolled in the program. Hours of operation for this facility are 6:30am-6:30pm, Monday to Friday.

Licensing staff observed all required forms/publications to be posted in the classrooms. Snack menus were reviewed to ensure that they are being 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.

PHYSICAL PLANT: At 11:00am, LPA entered and inspected Pink Room: 6 children with 1 staff member, Orange Room: 17 children with 2 staff members, Yellow Room: 9 children and 2 staff members, and Blue Room: 12 children and 2 staff members. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All floors are clean and safe. At 11:05am, LPA reviewed the storage of napping equipment. Napping equipment was observed to be folded mats present in each classroom for the preschool. Bedding was observed to be stored separately in children's individual cubbies. Sufficient individual storage space for children was observed and each child has a cubby. All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects and rodents. Drinking water was readily available indoors. At this time, the office is used as an isolation area. A mat is available for an ill child to rest on. First Aid supplies are available and complete. Facility has a functioning carbon monoxide detector that meets statutory requirements. Director states there are no weapons, firearms, or bodies of water on the premises.

REPORT CONTINUES PAGE 1 of 3

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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: KATHY KREDEL NURSERY SCHOOL	FACILITY NUMBER: 191501974
	VISIT DATE: 09/08/2021

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Each classroom has their own restrooms. All toilets, hand washing, and bathing facilities are safe, sanitary and are operating properly. At 11:16am, LPA inspected the facility kitchen. All food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. Snacks were reviewed for availability, quantity and appropriateness to children in care. This facility provides breakfast, lunch, am snack, and two pm snacks. At 11:20am, Director showed LPA where any needed refrigerated medication would be placed.

At 11:30am, LPA reviewed the outdoor play area. Outdoor playground equipment is in safe condition, free of sharp, loose 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, swings, slides, and similar equipment are cushioned with sand that absorbs a fall. There is one outside play space on the inside part of the property by the Pink and Orange room, another outside play space observed on the backside of the main office, and an outdoor play area by the Yellow and Blue room. All play areas had play structures with sand surrounding it. Drinking water is readily available outdoors.

Teacher-child ratios were observed to be in accordance with Title 22 regulations. Staff names were recorded. All children were observed to be under visual supervision of a teacher during tour. The Licensee is within the conditions, limitations, and capacity specified on the license. All areas were identified on the Facility Sketch were inspected.

FACILITY RECORDS: Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. Staff files were reviewed for a health screening report and immunizations that meet regulatory requirements. The facility, associated with Methodist Hospital of Arcadia, keeps all medical records/information in the Human Resources Department in the Hospital. Due to another Department visiting the hospital, LPA was unable to review health history portion of staff files and will return at a later date to conduct file review. Criminal Record Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence is on file. Educational background, training, and/or experience for each staff present are on file and were reviewed. A random sample of Children’s Records were reviewed to ensure that they are complete

REPORT CONTINUES PAGE 2 of 3

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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: KATHY KREDEL NURSERY SCHOOL	FACILITY NUMBER: 191501974
	VISIT DATE: 09/08/2021

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INCIDENTAL MEDICAL SERVICES:
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

LPA observed that a COVID-19 Technical Assistance call had been made on 06/04/2020.

LPA advised the licensee how to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov. AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/

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.

Exit interview was conducted with Gwen Blackmon, Director, at 3:05pm, including a copy of the report provided.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC809 (FAS) - (06/04)

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