198016249-3-3-2022-33-CC-STUG-CC72U7-20220303164153

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016249
Report Date: 03/03/2022
Date Signed: 03/03/2022 04:42:06 PM

Document Has Been Signed on 03/03/2022 04:42 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:	MARYVALE EARLY EDUCATION CENTER		FACILITY NUMBER:	198016249
ADMINISTRATOR:	STEPHANIE GARCIA		FACILITY TYPE:	840
ADDRESS:	2502 HUNTINGTON DR.		TELEPHONE:	(626) 357-1514
CITY:	DUARTE	STATE: CA	ZIP CODE:	91010
CAPACITY: 114	TOTAL ENROLLED CHILDREN: 114	CENSUS: 0	DATE:	03/03/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:28 AM
MET WITH:	Stephanie Garcia - Director		TIME COMPLETED:	05:00 PM

NARRATIVE

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At 10:28AM, Licensing Program Analysts (LPAs) Steven Tung and Roxana Lopez conducted an unannounced random inspection. A risk assessment was conducted upon entry- appropriate PPE was used. LPA’s met with Director Stephanie Garcia who guided analysts on tour of the facility. This facility operates Monday-Friday from 7:00AM-6:00PM. The facility follows the school schedules for pick up and drop off. This is a school-age program that is licensed for 114 children. There is also a preschool with toddler component on site license #198016248 and an infant component license #1980162450.

LPAs toured the areas according to the facility sketch on file. Per Director, no alterations have been made and LPAs observed none. The facility consists of 5 school-age classrooms (Orange Owls, Blue Owls, Green Owls, Purple Owls, and Yellow Owls). Each class was inspected. There were 2 school-age teachers and no school-age children present. 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 from sparkletts water dispensers and disposable cups. The first aid kit is kept in the staff offices on the first floor.

LPAs requested to inspect the carbon monoxide detectors in the facility. The Director stated that the facility's carbon monoxide detectors are interfaced with the HVAC software and can be observed from the front reception desk computer and remotely by facilities staff. The Director provided a printed screenshot of the carbon monoxide detectors functioning as well as a statement from the Facility Director Juan. LPAs observed the carbon monoxide detectors to be operational.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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: MARYVALE EARLY EDUCATION CENTER	FACILITY NUMBER: 198016249
	VISIT DATE: 03/03/2022

NARRATIVE

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There are restrooms on the first floor and second floor available for the children to use. The restrooms were observed to be clean and in good condition, with sufficient supplies for children to use.

Per director, the isolation area is located between the director's office and the medical office and has its own designated bathroom.

At 10:50AM, LPAs observed expired medication for C1. The expired medication was immediately removed and the parent of C1 was contacted regarding the expired medication.

The facility has a kitchen where meals and snacks are prepared and cooked for the children by kitchen staff. The kitchen was inspected and observed to be clean, orderly, and sufficient storage for supplies. The facility provides PM snacks for the school-age children. The menus are posted in the lobby area.

LPAs inspected the children’s outdoor space. The playground was inspected for safety, cushioning material, good repair and age appropriateness. LPAs observed there to be shade and adequate fencing. The water jugs and disposable cups are brought from inside the classrooms to the outside for children to use.

The fire/earthquake drill log was available - each classroom conducts a drill and reports the drill to the director. Last drill documented was 2/21/2022.

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. 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.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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: MARYVALE EARLY EDUCATION CENTER	FACILITY NUMBER: 198016249
	VISIT DATE: 03/03/2022

NARRATIVE

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LPA issued a copy of the LIC 857 Children’s Records Review and the LIC 859 Staff Records Review to the licensee during this inspection.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

Licensing staff observed COVID- 19 postings posted in the day care on this date.

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

Director Stephanie Garcia 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.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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: MARYVALE EARLY EDUCATION CENTER	FACILITY NUMBER: 198016249
	VISIT DATE: 03/03/2022

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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.

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

Exit interview conducted and report was reviewed with Director Stephanie Garcia.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/03/2022 04:42 PM - It Cannot Be Edited

Created By: Steven Tung On 03/03/2022 at 03:43 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: MARYVALE EARLY EDUCATION CENTER	FACILITY NUMBER: 198016249
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/03/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101226(e)(3)(A)

(3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's observations, the licensee did not comply with the section cited above in that the medication for C1 was expired in January 2022 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/17/2022
	Plan of Correction
1 2 3 4	During the inspection, the Director immediately contacted the mother of C1 regarding the expired medication. Per Director, the parent will supply the facility with new medication for C1. Every 3 months the Director will check all the medications throughout the facility, and the Assistant Director will check the medications throughout the facility every month. Proof of POC will be a photo of the new medication and a photo of the medication log will be emailed to LPA by POC date of 3/17/22.

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:

Brandi VanOosten

LICENSING EVALUATOR NAME:

Steven Tung

LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC809 (FAS) - (06/04)

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