198011042-7-29-2022-33-CC-RLOZ-CGSU5T-20220729151717

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198011042
Report Date: 07/29/2022
Date Signed: 07/29/2022 03:17:24 PM

Document Has Been Signed on 07/29/2022 03:17 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:	TELSTAR MONTESSORI CHILD CARE CENTER		FACILITY NUMBER:	198011042
ADMINISTRATOR:	GABRIELLA DOMINGUEZ		FACILITY TYPE:	840
ADDRESS:	9320 TELSTAR AVENUE		TELEPHONE:	(626) 569-2640
CITY:	EL MONTE	STATE: CA	ZIP CODE:	91731
CAPACITY: 20	TOTAL ENROLLED CHILDREN: 3	CENSUS: 0	DATE:	07/29/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Director Gabriela Dominguez		TIME COMPLETED:	03:30 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) Roxana Lopez conducted an unannounced case management licensee initiated inspection to the above facility on 7/29/2022. A risk assessment was conducted upon entry- appropriate PPE was used. LPA met with Gabby Dominguez, Director, who guided analyst on a tour of the facility. The purpose of this inspection is due to Director’s request to be removed off the inactive status. This facility operates Monday- Friday from 7:00 am-6:00pm. This is a school- age program that is licensed for 20 children. There is also a preschool on site license # 198011041 and an infant component license # 198011043 LPA toured the areas according to the facility sketch on file. Per Directors, no alterations have been made and LPA observed none. The facility consists of 1 classroom. LPA observed the classroom to be empty. Per Director, they have 3 children in the Preschool that will be transitioning to the School Age program on August 1st. All adults present have obtained a criminal record clearance or exemption on file. The following was observed during the tour of facility: Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. There is available drinking water in form of water fountain- per director during COVID children will be bringing water bottles from home and facility has water available to refill if needed. The first aid kit is kept in the classroom and one outdoors. LPA observed the carbon monoxide detector in the classroom, and it was observed to be operable. There is a boy’s restroom and a girl’s restroom in the classroom. The restrooms were observed to be clean and in good condition, with sufficient supplies for children to use. ----- pg.1 of 3 -------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2022

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: TELSTAR MONTESSORI CHILD CARE CENTER	FACILITY NUMBER: 198011042
	VISIT DATE: 07/29/2022

NARRATIVE

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Per director, the isolation area is located in the director's office and the staff restroom will be used.

The facility has a kitchen where meals and snacks are prepared and cooked for the children. The kitchen was inspected and observed to be clean, orderly, and sufficient storage for supplies.
The facility provides lunch and two snacks. The menus are posted on parent boards and emailed.

LPA inspected the children’s outdoor space. The playground is shared with the preschool program. A waiver and schedule is on file. The playground was inspected for safety, cushioning material, good repair and age appropriateness. LPA observed there to be shade and adequate fencing. Drinking water is available in form of water fountains and children will be bringing water bottles during COVID. LPA found that fountains are functional.

Since facility has been on inactive and no children are currently enrolled there was no fire/earthquake drill log available to review. Per Director, since facility is in a County building the County inspects the smoke detectors every Wednesday.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. The name of the childcare 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.

In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

LPA issued a copy of the LIC 857 Children’s Records Review and the LIC 859 Staff Records Review to the Director during this inspection. --------------------------- pg.2 of 3----------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2022

LIC809 (FAS) - (06/04)

Page: 2 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: TELSTAR MONTESSORI CHILD CARE CENTER	FACILITY NUMBER: 198011042
	VISIT DATE: 07/29/2022

NARRATIVE

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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

Licensing staff consulted with licensing regarding COVID-19 health and safety guidelines on this date, Licensing staff observed COVID- 19 postings posted in the day care on this date. A RAST inspection is on file.

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

Director 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.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today. Facility will be place back on active status.

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 Director Gabby Dominguez

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2022

LIC809 (FAS) - (06/04)

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