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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007425
Report Date: 10/10/2024
Date Signed: 10/10/2024 03:30:33 PM

Document Has Been Signed on 10/10/2024 03:30 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:CERRITOS CHILD DEV. CENTERFACILITY NUMBER:
198007425
ADMINISTRATOR/
DIRECTOR:		VANESSA GUZMANFACILITY TYPE:
850
ADDRESS:120 E. CERRITOS AVE.TELEPHONE:
(818) 243-3212
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY: 85TOTAL ENROLLED CHILDREN: 85CENSUS: 36DATE:
10/10/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Carol Gregory, Program SupervisorTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Anomeh Eivazian conducted an unannounced required inspection on 10/10/24. A non-compliance conference was held with licensee on 06/03/2024 and facility was placed on required inspection for next two years. Upon LPA's arrival to the facility at 8:45 a.m., LPA waited in the school office area, at 9:15, Carol Gregory, Program Supervisor arrived to the facility who guided LPA on a tour of the facility. LPA provided Program Supervisor with a copy of the Entrance Checklist for Child Care Centers form (LIC 125). A COVID 19 risk assessment was conducted prior to entering the facility. This is a preschool program which consists of 4 classrooms; Room 101, Room 104, Room 105, and Room 108. Room 101, Room 104, and Room 105 are full day programs and 108 is half a day program. There are school age program and Elementary program on this site. All the programs are under Glendale Unified School District. Currently program is serving children 2 to 5 years old. Waiver to use the outdoor playarea on staggered schedule among Kindergarten and Preschool on file, granted on 07/31/2002.

All areas identified on the Facility Sketch were inspected. The following staff was present during this inspection: Room 101 (2-3 years old): 3 staff with 9 preschoolers; Room 104 (3-5 years old): 3 staff with 9 preschoolers, Room 105 (3-5 years old): 3 staff with 7 preschoolers, and Room 108 (3-5 year old): 2 staff with 7 preschoolers. All children were observed to be under visual supervision of a teacher at all times. The following was observed during the tour of the facility:

PHYSICAL PLANT


LPA observed the facility to be clean, safe, sanitary and in good repair. Per Carol Gregory, Program Supervisor cleaning crew clean the facility daily after hours. Furniture and equipment was inspected for age appropriateness and 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 materials accessible to children were observed to be toxic-free. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings in each classroom. Linens are laundered by the facility each week on Friday or as needed. Napping equipment (cots) were observed to be stored in each classroom. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms.
REPORT CONTINUES ON NEXT PAGE 1 OF 5
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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: CERRITOS CHILD DEV. CENTER
FACILITY NUMBER: 198007425
VISIT DATE: 10/10/2024
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Per Carol Gregory, Program Supervisor, staff in Room 101 (2-3 years old classroom) change children diapers either in the bathroom area or using the changing diaper area in Room 101. Changing table in Room 101 has a padded surface no less than one inch thick and are covered with washable vinyl or plastic and have raised sides at least three inches high. There is a portable sink arm reach from changing table in Room 101. General sanitation was observed. Availability of indoor drinking water was observed in the classroom. LPA observed water pitchers and disposable cups in each classroom. Also, children were using water bottles for drinking.

Disinfectants, cleaning solutions, medication, and other items that are dangerous to children, were inaccessible to children. Carol Gregory, Program Supervisor states there are no poisons stored at the facility. Carol Gregory, Program Supervisor showed operable carbon monoxide detectors in each classroom. LPA observed required posting information were posted in each classroom. Per program supervisor, facility does not provide transportation.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. 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 or solid waste bags shall be discarded immediately after each meal.

Outdoor playground equipment is in a 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, slides, and similar equipment are cushioned with rubber cushioning material that absorbs a fall; climbing apparatuses are single level only. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. Per Carol Gregory, Program Supervisor, teachers take water bottles outside during outdoor play time and use water fountains. LPA advised that no children shall be left without the supervision of a teacher at any time.

There are emergency exit doors in Room 101, Room 108, and two on the playground. Per Carol Gregory, Program Supervisor, Emergency exit doors alarm are on all the time. The Program Supervisor states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this inspection. Site Supervisor states there are no weapons or firearms on the premises.
REPORT CONTINUES ON NEXT PAGE 2 OF 5
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
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: CERRITOS CHILD DEV. CENTER
FACILITY NUMBER: 198007425
VISIT DATE: 10/10/2024
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FACILITY RECORDS
Program Supervisor, was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Children’s Records were reviewed for completeness; Inspection of required forms was made and documented on the LIC 857.

There is at least one person trained in CPR and Pediatric First Aid present during this inspection. LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present had proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present had proof against TB, measles, pertussis, and influenza. All staff have been given on the-job training sanitation principles, housekeeping, including universal health precautions.

Children's roster was reviewed and is current. Per Carol Gregory, Program Supervisor facility is using EZ Child Track electronic sing in/out. Sign in and out sheets were reviewed electronically on a tablet in each classroom to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. LPA observed sign in/out tablet was placed in each classroom by the entrance door. During this inspection 36 children were present, and all 36 children were singed in. Disaster drill log was available, last drill was conducted on 09/17/24.

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. Preschoolers are provided breakfast, lunch, and a PM snack. Snacks and Lunch are delivered by Glendale School District kitchen daily. Also, kids have option to bring food from home. During tour of Room 101 (2-3 year old classroom), LPA and Program Supervisor, Carol Gregory observed children snacks that was brought from home was placed in a basket on a shelf, reachable by children. During tour of Room 101, approximately at 10AM, when couple children were getting ready to have AM snack, child#2, grabbed its own snack from snack basket and spilled it on the carpet by the wall, the snack was pasta. Per Carol Gregory, Program Supervisor, effective today staff will keep the snack baskets out of reach of children. Also, staff#1 contacted child#2's parent who stated child#1 is eating school lunch and still beside pasta, child#2 had some fruits for AM snack.
REPORT CONTINUES ON NEXT PAGE 3 OF 4
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
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: CERRITOS CHILD DEV. CENTER
FACILITY NUMBER: 198007425
VISIT DATE: 10/10/2024
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First Aid supplies were observed in each classroom. According to Carol Gregory, Program Supervisor, medication is only administered to a child when accompanied with a doctor's note and is stored in the child’s classroom.

Per staff#1 and Program Supervisor, Carol Gregory, child#1 is mild allergic to nuts. Based on child#1's Student Information form and doctor note, child#1 was prescribed to have Benadryl at the school, based on doctor note allergies are not life treating but child#1 did not have Benadryl on site during this inspection. Per Program Supervisor child#1 was attending the program since 09/03/24. The facility was observed to be equipped with an isolation area for any child who becomes ill and it is located in the staff office. The ill child will use the staff restroom during isolation which is disinfected immediately after use per Site Supervisor.

Medication: This facility provides Incidental Medical Services – IMS. Per Carol Gregory, Program Supervisor currently they have one child enrolled to administer IMS, EPI-Pen. 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. Plan of Operation for Incidental Medial Services was submitted on 07/17/17.

Analyst reviewed new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, which requires the testing of water for lead in Child Care Centers (CCCs) with facility director during the inspection. Per AB 2370, all CCCs that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing. Teachers refill children drinking water pitchers by water faucets in laundry room/staff room. Facility completed Water Lead Testing 04/27/2024.

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.
REPORT CONTINUES ON NEXT PAGE 4 OF 5
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
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: CERRITOS CHILD DEV. CENTER
FACILITY NUMBER: 198007425
VISIT DATE: 10/10/2024
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided.
Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

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.

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 Carol Gregory, Program Supervisor.


END OF REPORT PAGE 5 OF 5
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/10/2024 03:30 PM - It Cannot Be Edited


Created By: Anomeh Eivazian On 10/10/2024 at 01:34 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: CERRITOS CHILD DEV. CENTER
FACILITY NUMBER: 198007425

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/10/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(2)
Health-Related Services
(2) All prescription and nonprescription medications shall be maintained with the child's name and shall be dated.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on tour of the facility, child#1 file review and staff#1 disclosure, the licensee did not comply with the section cited above, child#1 who is mild allergic to nuts, noted on child#1's Student Information form and doctor note, child#1 was prescribed to have Benadryl at the school, but child#1 did not have Benadryl on site during this inspection which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/14/2024
Plan of Correction
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Per Carol Gregory, Program Supervisor she will contact child#1's mother to ask to bring Benadryl to the school by Monday 10/21/24. A picture of medication will be submitted to LPA via Email.
Type B
Section Cited
CCR
101227(a)(1)
Food Service
(1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. Each meal shall include, at a minimum, the amount of food components as specified by Title 7, Code of Federal Regulations, Part 226.20, (Revised January 1, 1990) Requirements for Meals, for the age group served. All food shall be selected, stored, prepared and served in a safe and healthful manner.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's observation during tour of Room 101 the licensee did not comply with the section cited above and LPA observed approximately at 10AM, when couple children were getting ready to have AM snack, child#2, grabbed its own snack from snack basket which was accessible to the children and spilled it on the carpet by the wall which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/18/2024
Plan of Correction
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Per Carol Gregory, Program Supervisor, effective today staff will keep the snack baskets out of reach of children. Also, staff#1 contacted child#2's parent who stated child#1 is eating school lunch and beside pasta, child#2 had some fruits for AM snack.
A written plan will be submitted to LPA.
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:Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2024


LIC809 (FAS) - (06/04)
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