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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018561
Report Date: 01/25/2022
Date Signed: 01/25/2022 04:49:38 PM

Document Has Been Signed on 01/25/2022 04:49 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:COVINA DEVELOPMENT CENTERFACILITY NUMBER:
198018561
ADMINISTRATOR:SHEENA MINAYAFACILITY TYPE:
850
ADDRESS:437 W. SAN BERNARDINO RD. #111TELEPHONE:
(626) 967-7153
CITY:COVINASTATE: CAZIP CODE:
91723
CAPACITY: 48TOTAL ENROLLED CHILDREN: 44CENSUS: 21DATE:
01/25/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Sheena Minaya, Program ManagerTIME COMPLETED:
04:58 PM
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Licensing Program Analyst (LPA) Cynthia Reyes, conducted an unannounced site Inspection to inspect and measure the requested increase incapacity of the added preschool class room for capacity determination. LPA met with Sheena Minaya, Program Manager Due to COVID-19 precautionary measures were taken during the entire inspection and all individuals present during this inspection wore appropriate personal protective equipment. The licensee is requesting a capacity increase of 18 preschool children in room 104 to be added to the already licensed preschool capacity of 48 which are located in rooms 101, 103 and 105. The Preschool program will operate Monday through Friday 7:15 AM to 5:30 PM.

1:45 PM The indoors and outdoors of the preschool component was inspected. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. There is a smoke detector, a carbon monoxide detector and a fire extinguisher that meets statutory requirements. Building/Rooms are centrally heated and air conditioned. Overhead lights as well as natural light is used. There is drinking water available by use of a pitcher and disposable cups. Napping equipment was inspected for good condition, appropriate storage and cleanliness. Containers used to discard food have tight fitting lids. Cleaning compounds are inaccessible to the children. The classroom is equipped with a first aid kit. There are storage for children's personal items.

The isolation area for an ill child is located in the main office where the staff bathroom is also located, A mat/cot is used for the ill child if needed. Medications will be administered with proper authorizations. Incidental Medical Services discussed and explained. The facility offers breakfast, lunch and PM snack.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: COVINA DEVELOPMENT CENTER
FACILITY NUMBER: 198018561
VISIT DATE: 01/25/2022
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3 PM, The tour continued as the LPA was guided to the outdoor play area. The preschool has their own outdoor play yard with a wood apparatus and is self contained by a gate around it for separation from the infant yard to prevent children from commingling. Water jugs with disposable cups will be used for children while outdoors. LPA observed age appropriate outdoor toys and play equipment to be clean safe and in good repair, as well as adequate shade is available. All areas around play equipment and slides are cushioned with material to absorb a fall. Measurements were taken of the outdoor play yard and the total outside capacity allows for 81 preschool children. LPA advised Sheena Minaya, that the children need to be within the direct care and supervision, including visual observation and supervision of the teacher(s) at all times.

Preschool bathroom were observed to be in good repair, water temperature, paper towels, toilet paper, all area inspected for safety and sanitation. Between class room 104 & 105 (2 toilets & 2 sinks) room 106
(2 toilets/2 Urinals/2 sinks), and Room 101 (1 toilet & 1 sink). Total 5 toilets/2 urinals and 6 sinks.

Based on measurements taken today, capacity for the increase in the preschool program, will be 18 as requested, for a total capacity of 66 in rooms 101, 103, 104 & 105. Fire clearance has been approved for a total of 66. No corrections are needed.

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. Failure to maintain posting as required will result in a civil penalty of $100.00.

4: 50 PM Exit interview conducted with Sheena Minaya, and a signed copy of this report, notice of site visit and appeal rights were provided on this date.

Helpful Resources:
Access forms, regulations and quarterly updates on the Child Care Licensing website at: ww.ccld.ca.govReporting Unusual Incidents: MPROIncidentReports@dss.ca.gov. CCL Resources for Parents & Providers: https://ccld.childcarevideos.org/ Provider Information Notices (PINs): https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2022
LIC809 (FAS) - (06/04)
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