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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014604
Report Date: 05/17/2024
Date Signed: 05/17/2024 03:51:05 PM

Document Has Been Signed on 05/17/2024 03:51 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:FAMILIES FORWARD LEARNING CENTERFACILITY NUMBER:
198014604
ADMINISTRATOR/
DIRECTOR:		ASHLEY THOMPSONFACILITY TYPE:
830
ADDRESS:980 NORTH FAIR OAKS AVENUETELEPHONE:
(626) 792-2687
CITY:PASADENASTATE: CAZIP CODE:
91103
CAPACITY: 20TOTAL ENROLLED CHILDREN: 30CENSUS: 12DATE:
05/17/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Ashley Thompson, Education DirectorTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 5/17/24, Licensing Program Analysts (LPAs) Saul Valenzuela and Nolan Tcheng conducted an unannounced annual inspection. LPAs met with Education Director, Ashley Thompson, to whom the reason for the visit was explained. Education Director guided LPAs on a tour of the facility. This is a preschool program which is currently licensed for a capacity of 20 children, operates Monday – Friday morning session from 8:30 AM to 12:00 AM and afternoon session from 1:00 PM - 4:30 PM. Per Education Director there are 30 children enrolled. This facility also houses a Preschool program (#198014603).

At 2:15 PM, LPAs entered and inspected Poppy room (Infants): 6 children with 3 staff members, and Buttercup room (Toddlers): 6 children with 3 staff members. Poppy room was observed to have a nap area for the infant aged children. Cribs and napping equipment were observed in the infant program. LPA observed portable cribs that meet Consumer Product Safety Commission safety standards. Mattresses have an appropriate size mattress with a fitted sheet. Crib was observed to be free of loose items. Mats were available for infants who can climb out of a crib. Sleeping area is physically separated and cribs do not limit staff’s ability to always watch infants. Per Director, bedding is changed daily. LPAs observed the diaper changing table to be at least one inch thick, with raised sides of at least 3-inches, and within arm’s reach of the sink. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. Staff names were recorded. LPAs confirmed all individuals present have obtained a criminal record clearance. All children were observed by LPAs to be under supervision, including visual supervision, of a teacher at all times. The licensed facility is within the conditions, limitations, and capacity specified on the license.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 05/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/17/2024
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FAMILIES FORWARD LEARNING CENTER
FACILITY NUMBER: 198014604
VISIT DATE: 05/17/2024
NARRATIVE
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All areas identified on the Facility Sketch were inspected and the following was observed: All indoor classrooms were inspected to ensure that furniture and equipment are age-appropriate and in good repair, and the floors have a surface that is safe and clean. Napping equipment was not inspected as children do not nap. Program operates less than four hours a day.

Storage for children's belongings were inspected and LPAs observed children have their own labeled cubbies to store their belongings in all classrooms. Children are provided with water cups and are allowed to drink freely at any time. Water cups are refilled on demand from a water pitcher located in the classroom. Water pitchers are refilled in the kitchen.



LPAs observed toys and materials for children in the classrooms. Age-appropriate sinks and toilets were inspected for availability and good repair in restrooms used by children. All materials and surfaces accessible to children appear to be toxic free. Per Education Director, the quiet room, which is located next to the library, is used as an isolation area. Per Education Director, staff provide 100% supervision when ill child is using the isolation room and/or restroom, and 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.

Food menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. Menus for the past 30 days are available upon request. The facility provides breakfast, lunch, AM and PM snack. All kitchen, food preparation, and food storage areas are clean, free of litter, rubbish, and rodents, and other vermin. All food is protected from contamination, and LPAs inspected that any contaminated food is discarded immediately. LPAs inspected food to be in good quantity and quality.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2024
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FAMILIES FORWARD LEARNING CENTER
FACILITY NUMBER: 198014604
VISIT DATE: 05/17/2024
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Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Education Director states that there are no poisons or firearms on the premises.

First aid kits were located in each classroom. Telephone service, heating, lighting and ventilation were evaluated. LPAs observed the facility to have operable carbon monoxide and smoke detectors via fire system.



The facility has an outdoor play area that is fully fenced. 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. There is adequate shade in the play yard. There are safe toys, play equipment and materials observed for children outside on playground. Availability of outdoor drinking water was observed. Per Education Director, teachers bring out the children’s water cups each time the classroom goes outdoors and use a filter water pitcher to refill cups.

Facility uses application called Learning Genie for electronic Sign in and out. Director made print out available for review to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. LPAs reviewed facility roster and Disaster Drill log. Last drill was conducted on 4/25/24. LPA observed all required posted forms to be posted in the office.

Staff Records and Children’s Records were reviewed. LPA observed infant’s files and sleep logs reviewed to be complete. Inspection of required forms were made. Children’s files reviewed 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.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2024
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FAMILIES FORWARD LEARNING CENTER
FACILITY NUMBER: 198014604
VISIT DATE: 05/17/2024
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LPAs observed at least one person present during the inspection to be trained in Pediatric First Aid and CPR. LPAs reviewed staff files, including Health Screenings. LPA observed all personnel to be in good health and are physically and mentally capable of performing assigned tasks. LPAs observed staff to have current Mandated Reporter Training (AB1207). Staff immunization records (Influenza, Measles, and Pertussis) were reviewed, and LPA observed 2 staff to be missing proof of measles immunizations.

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

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection- process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2024
LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FAMILIES FORWARD LEARNING CENTER
FACILITY NUMBER: 198014604
VISIT DATE: 05/17/2024
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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

LPAs discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care- licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.



Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/. PIN 22-05-CCP
Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2024
LIC809 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FAMILIES FORWARD LEARNING CENTER
FACILITY NUMBER: 198014604
VISIT DATE: 05/17/2024
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At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days.



Exit interview conducted and report was reviewed with the Education Director, Ashley Thompson.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2024
LIC809 (FAS) - (06/04)
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